| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,784 |
8,271 |
$516K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,190 |
3,977 |
$340K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,714 |
8,085 |
$249K |
| D0190 |
|
7,717 |
6,598 |
$99K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,056 |
900 |
$90K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,302 |
2,349 |
$89K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
454 |
224 |
$86K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,144 |
7,276 |
$80K |
| 90837 |
Psychotherapy, 53 minutes with patient |
866 |
545 |
$71K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
8,013 |
6,267 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
766 |
668 |
$56K |
| 99173 |
|
6,625 |
5,641 |
$47K |
| 92551 |
|
5,116 |
4,325 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
518 |
447 |
$37K |
| 97803 |
|
4,625 |
3,846 |
$24K |
| H0049 |
Alcohol and/or drug screening |
3,072 |
2,481 |
$22K |
| 99384 |
|
158 |
153 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,203 |
1,044 |
$17K |
| 0072A |
|
228 |
223 |
$14K |
| 0071A |
|
259 |
234 |
$13K |
| D0145 |
Oral evaluation for a patient under three years of age |
496 |
411 |
$12K |
| T1017 |
Targeted case management, each 15 minutes |
252 |
89 |
$11K |
| 96127 |
|
2,810 |
2,125 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
167 |
128 |
$10K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
104 |
72 |
$10K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
174 |
99 |
$7K |
| 94760 |
|
4,002 |
2,867 |
$7K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
315 |
215 |
$7K |
| 99000 |
|
4,622 |
3,200 |
$6K |
| D1206 |
Topical application of fluoride varnish |
479 |
397 |
$6K |
| 90651 |
|
686 |
607 |
$6K |
| 90686 |
|
4,117 |
3,512 |
$5K |
| 90480 |
|
117 |
106 |
$5K |
| 81025 |
|
1,197 |
669 |
$5K |
| 97802 |
|
2,451 |
2,157 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
300 |
245 |
$3K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
39 |
30 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
38 |
37 |
$2K |
| 0001A |
|
56 |
47 |
$2K |
| 80061 |
Lipid panel |
169 |
134 |
$2K |
| 0002A |
|
50 |
37 |
$2K |
| 85018 |
|
888 |
724 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
67 |
65 |
$2K |
| 36416 |
|
1,299 |
981 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
30 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
180 |
116 |
$1K |
| 99072 |
|
4,465 |
3,331 |
$1K |
| 90670 |
|
199 |
155 |
$1K |
| 90461 |
|
2,186 |
1,826 |
$1K |
| 0124A |
|
16 |
14 |
$864.78 |
| 90734 |
|
299 |
265 |
$825.00 |
| 36415 |
Collection of venous blood by venipuncture |
231 |
186 |
$531.42 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
60 |
49 |
$450.16 |
| 99201 |
|
20 |
13 |
$396.90 |
| 94010 |
|
13 |
13 |
$396.50 |
| 90688 |
|
951 |
776 |
$311.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
12 |
$169.29 |
| 90715 |
|
179 |
165 |
$154.45 |
| 81002 |
|
71 |
54 |
$146.96 |
| 90698 |
|
116 |
83 |
$114.62 |
| 86580 |
|
16 |
15 |
$79.27 |
| 96160 |
|
31 |
27 |
$7.30 |
| 91300 |
|
330 |
265 |
$0.00 |
| 90685 |
|
26 |
25 |
$0.00 |
| 90633 |
|
90 |
78 |
$0.00 |
| 91312 |
|
17 |
15 |
$0.00 |
| 86703 |
|
17 |
13 |
$0.00 |
| 4450F |
|
10,285 |
8,754 |
$0.00 |
| 90680 |
|
55 |
39 |
$0.00 |
| 91307 |
|
549 |
479 |
$0.00 |
| 91319 |
|
12 |
12 |
$0.00 |
| 90744 |
|
46 |
29 |
$0.00 |
| 91305 |
|
16 |
15 |
$0.00 |
| 90619 |
|
16 |
16 |
$0.00 |