| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
32,822 |
29,246 |
$3.12M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,993 |
8,952 |
$548K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,285 |
15,061 |
$469K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,576 |
7,549 |
$462K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,888 |
6,730 |
$413K |
| G0008 |
Administration of influenza virus vaccine |
12,224 |
12,165 |
$399K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,189 |
5,162 |
$324K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,329 |
1,703 |
$257K |
| G0009 |
Administration of pneumococcal vaccine |
4,295 |
4,280 |
$139K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,144 |
1,119 |
$72K |
| 90791 |
Psychiatric diagnostic evaluation |
531 |
531 |
$61K |
| D0145 |
Oral evaluation for a patient under three years of age |
2,457 |
2,439 |
$44K |
| D1206 |
Topical application of fluoride varnish |
2,757 |
2,739 |
$34K |
| 99188 |
|
918 |
916 |
$22K |
| 96127 |
|
2,921 |
2,827 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,471 |
1,364 |
$12K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
764 |
740 |
$10K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
765 |
740 |
$10K |
| 90651 |
|
3,100 |
3,083 |
$9K |
| 0124A |
|
395 |
394 |
$9K |
| 0001A |
|
223 |
223 |
$9K |
| 90686 |
|
12,155 |
12,097 |
$8K |
| 0002A |
|
177 |
177 |
$7K |
| 0072A |
|
431 |
431 |
$6K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
60 |
60 |
$6K |
| Q3014 |
Telehealth originating site facility fee |
362 |
349 |
$6K |
| 83655 |
|
1,745 |
1,735 |
$6K |
| 0154A |
|
245 |
243 |
$5K |
| 0054A |
|
174 |
173 |
$5K |
| 0071A |
|
457 |
455 |
$4K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
33 |
28 |
$4K |
| 90473 |
|
95 |
93 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
33 |
27 |
$4K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
163 |
158 |
$3K |
| 0081A |
|
229 |
229 |
$3K |
| 90670 |
|
4,887 |
4,870 |
$3K |
| 90734 |
|
2,039 |
2,026 |
$3K |
| 0082A |
|
174 |
173 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
45 |
$2K |
| 0052A |
|
42 |
42 |
$2K |
| G0010 |
Administration of hepatitis b vaccine |
41 |
41 |
$1K |
| 87070 |
|
1,621 |
1,577 |
$993.66 |
| 99383 |
|
12 |
12 |
$982.80 |
| 90681 |
|
2,618 |
2,610 |
$869.20 |
| 90716 |
|
1,734 |
1,727 |
$816.70 |
| 85018 |
|
1,419 |
1,414 |
$795.50 |
| 0074A |
|
127 |
125 |
$792.90 |
| 99381 |
|
12 |
12 |
$744.72 |
| 0083A |
|
56 |
56 |
$675.30 |
| 90480 |
|
350 |
342 |
$671.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,867 |
1,816 |
$632.34 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
347 |
330 |
$496.05 |
| 0051A |
|
12 |
12 |
$443.76 |
| 0173A |
|
27 |
27 |
$430.84 |
| 80061 |
Lipid panel |
29 |
28 |
$374.92 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
59 |
59 |
$319.44 |
| 81002 |
|
1,087 |
1,045 |
$248.90 |
| 90723 |
|
1,576 |
1,572 |
$244.95 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
503 |
247 |
$222.49 |
| 17110 |
|
12 |
12 |
$155.23 |
| 0004A |
|
85 |
85 |
$142.20 |
| 90619 |
|
703 |
700 |
$130.00 |
| 83718 |
|
27 |
27 |
$122.85 |
| 82465 |
|
28 |
28 |
$121.80 |
| 87481 |
|
24 |
12 |
$106.48 |
| 81025 |
|
95 |
92 |
$71.17 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
63 |
62 |
$55.37 |
| 87511 |
|
12 |
12 |
$53.24 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
12 |
12 |
$49.76 |
| 90744 |
|
468 |
466 |
$47.00 |
| 87186 |
|
27 |
24 |
$35.14 |
| 90672 |
|
217 |
215 |
$25.00 |
| 87077 |
|
27 |
24 |
$21.36 |
| 36416 |
|
2,033 |
2,009 |
$0.00 |
| 90698 |
|
2,038 |
2,034 |
$0.00 |
| 90474 |
|
2,664 |
2,655 |
$0.00 |
| 90696 |
|
1,608 |
1,604 |
$0.00 |
| 91315 |
|
199 |
199 |
$0.00 |
| 91307 |
|
1,040 |
991 |
$0.00 |
| 90697 |
|
885 |
883 |
$0.00 |
| 91305 |
|
286 |
279 |
$0.00 |
| 91317 |
|
152 |
149 |
$0.00 |
| 91319 |
|
106 |
104 |
$0.00 |
| 91318 |
|
68 |
68 |
$0.00 |
| 90677 |
|
55 |
55 |
$0.00 |
| 90707 |
|
1,671 |
1,663 |
$0.00 |
| 90648 |
|
2,699 |
2,686 |
$0.00 |
| 90715 |
|
1,830 |
1,819 |
$0.00 |
| 90633 |
|
3,646 |
3,634 |
$0.00 |
| 91312 |
|
396 |
395 |
$0.00 |
| 90710 |
|
1,681 |
1,678 |
$0.00 |
| 90700 |
|
1,443 |
1,431 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
10,298 |
10,239 |
$0.00 |
| 91300 |
|
510 |
482 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
26 |
26 |
$0.00 |
| 91320 |
|
105 |
99 |
$0.00 |
| 91322 |
|
28 |
28 |
$0.00 |
| 90671 |
|
757 |
756 |
$0.00 |
| 90685 |
|
66 |
66 |
$0.00 |
| 91308 |
|
482 |
458 |
$0.00 |
| 91321 |
|
18 |
18 |
$0.00 |