| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
109,899 |
98,771 |
$7.85M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59,984 |
55,473 |
$6.26M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
21,067 |
20,762 |
$2.19M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
59,296 |
57,693 |
$2.01M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16,838 |
16,550 |
$1.74M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17,459 |
16,931 |
$1.67M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
11,189 |
11,025 |
$1.27M |
| 97802 |
|
37,144 |
36,165 |
$955K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
6,266 |
6,049 |
$915K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12,797 |
12,282 |
$687K |
| 90461 |
|
25,357 |
24,397 |
$591K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24,505 |
23,392 |
$347K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22,054 |
10,642 |
$315K |
| G9153 |
Mapcp demonstration - physician incentive pool |
3,638 |
3,633 |
$243K |
| 99188 |
|
9,452 |
9,274 |
$161K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,187 |
3,057 |
$138K |
| 99051 |
|
9,459 |
9,035 |
$119K |
| 96127 |
|
13,485 |
13,180 |
$101K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,149 |
1,361 |
$82K |
| 99381 |
|
567 |
511 |
$59K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
1,142 |
1,068 |
$44K |
| 94060 |
|
991 |
949 |
$43K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,546 |
1,490 |
$41K |
| 90791 |
Psychiatric diagnostic evaluation |
250 |
237 |
$38K |
| 99177 |
|
7,749 |
7,631 |
$36K |
| 90837 |
Psychotherapy, 53 minutes with patient |
218 |
145 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,003 |
2,969 |
$23K |
| 94664 |
|
1,795 |
1,628 |
$21K |
| 87807 |
|
1,758 |
1,706 |
$20K |
| 96160 |
|
1,946 |
1,814 |
$17K |
| 99215 |
Prolong outpt/office vis |
106 |
101 |
$15K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,065 |
956 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,187 |
1,113 |
$9K |
| 94150 |
|
387 |
344 |
$7K |
| 17110 |
|
82 |
67 |
$7K |
| 85014 |
|
2,008 |
1,970 |
$5K |
| 85018 |
|
1,925 |
1,889 |
$5K |
| 90677 |
|
1,512 |
1,485 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
26 |
$3K |
| 82465 |
|
502 |
486 |
$3K |
| 81002 |
|
714 |
659 |
$2K |
| 88720 |
|
407 |
317 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
444 |
396 |
$2K |
| 96380 |
|
64 |
64 |
$1K |
| 96161 |
|
135 |
130 |
$1K |
| 92551 |
|
332 |
323 |
$1K |
| 94760 |
|
3,795 |
3,335 |
$829.33 |
| 69210 |
|
17 |
12 |
$491.21 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
19 |
$441.04 |
| 0001A |
|
19 |
19 |
$370.00 |
| 90651 |
|
3,363 |
3,283 |
$239.85 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
27 |
25 |
$239.39 |
| 90619 |
|
523 |
505 |
$164.19 |
| 90698 |
|
14,220 |
13,899 |
$93.99 |
| 90686 |
|
11,585 |
11,363 |
$74.74 |
| 90633 |
|
9,210 |
9,029 |
$64.02 |
| 86308 |
|
12 |
12 |
$58.83 |
| 90656 |
|
688 |
683 |
$58.64 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
92 |
84 |
$19.03 |
| 91300 |
|
21 |
21 |
$0.01 |
| 90670 |
|
11,900 |
11,629 |
$0.00 |
| 90685 |
|
730 |
720 |
$0.00 |
| 90734 |
|
1,489 |
1,443 |
$0.00 |
| 90707 |
|
4,196 |
4,094 |
$0.00 |
| 90621 |
|
621 |
618 |
$0.00 |
| 90672 |
|
244 |
242 |
$0.00 |
| 90715 |
|
156 |
154 |
$0.00 |
| 90716 |
|
4,145 |
4,041 |
$0.00 |
| 90744 |
|
4,293 |
4,176 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
26,474 |
25,813 |
$0.00 |
| 90680 |
|
7,725 |
7,514 |
$0.00 |
| 90696 |
|
386 |
375 |
$0.00 |
| 90660 |
|
63 |
63 |
$0.00 |
| 90381 |
|
32 |
32 |
$0.00 |