| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,438 |
11,512 |
$1.17M |
| 99215 |
Prolong outpt/office vis |
3,727 |
2,475 |
$378K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,339 |
5,686 |
$352K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
536 |
533 |
$54K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,023 |
976 |
$26K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,437 |
536 |
$25K |
| 90682 |
|
409 |
393 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,728 |
1,720 |
$18K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
439 |
400 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
157 |
157 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
691 |
662 |
$13K |
| 92587 |
|
1,604 |
860 |
$13K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
237 |
123 |
$11K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
318 |
185 |
$9K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
211 |
174 |
$7K |
| 96127 |
|
1,040 |
1,016 |
$7K |
| 91320 |
|
85 |
79 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
64 |
$6K |
| 90686 |
|
638 |
605 |
$5K |
| 90480 |
|
131 |
116 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
131 |
131 |
$4K |
| 0124A |
|
159 |
129 |
$3K |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
295 |
286 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$2K |
| 99173 |
|
86 |
86 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 90461 |
|
90 |
89 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
108 |
105 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
72 |
38 |
$1K |
| 80305 |
|
344 |
196 |
$995.19 |
| 0071A |
|
20 |
20 |
$917.40 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
70 |
63 |
$913.22 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
100 |
77 |
$880.03 |
| 98940 |
|
41 |
28 |
$864.59 |
| 80306 |
|
160 |
60 |
$701.51 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
21 |
$679.85 |
| 97124 |
|
40 |
24 |
$572.80 |
| 0011A |
|
24 |
24 |
$530.44 |
| 92551 |
|
47 |
47 |
$456.03 |
| 0012A |
|
14 |
14 |
$454.24 |
| 99490 |
Ccm add 20min |
29 |
29 |
$178.89 |
| 81003 |
|
54 |
48 |
$91.51 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
51 |
43 |
$76.59 |
| 91312 |
|
159 |
128 |
$0.00 |
| A4617 |
Mouth piece |
16 |
12 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$0.00 |
| 99000 |
|
140 |
128 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
58 |
56 |
$0.00 |
| 91301 |
|
45 |
45 |
$0.00 |
| 91307 |
|
23 |
20 |
$0.00 |
| 90694 |
|
12 |
12 |
$0.00 |