| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,380 |
33,002 |
$3.22M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,079 |
20,609 |
$2.75M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,461 |
5,267 |
$580K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,280 |
4,143 |
$500K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,172 |
4,047 |
$444K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,170 |
2,906 |
$314K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27,430 |
22,017 |
$291K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
21,283 |
20,196 |
$173K |
| 99051 |
|
14,113 |
12,691 |
$165K |
| D1206 |
Topical application of fluoride varnish |
5,424 |
5,331 |
$134K |
| 92551 |
|
13,722 |
13,205 |
$128K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,389 |
8,736 |
$115K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
388 |
41 |
$101K |
| 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) |
5,577 |
4,674 |
$88K |
| 90686 |
|
3,809 |
3,630 |
$83K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,210 |
2,861 |
$74K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,380 |
1,321 |
$68K |
| 99177 |
|
7,609 |
7,306 |
$37K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
274 |
262 |
$33K |
| 96127 |
|
5,543 |
4,852 |
$29K |
| 90670 |
|
1,064 |
1,037 |
$24K |
| 90698 |
|
829 |
814 |
$19K |
| 90680 |
|
795 |
775 |
$18K |
| 90651 |
|
749 |
726 |
$17K |
| 99173 |
|
7,548 |
7,242 |
$17K |
| 90671 |
|
744 |
715 |
$16K |
| 99215 |
Prolong outpt/office vis |
80 |
74 |
$14K |
| 90697 |
|
584 |
562 |
$13K |
| 96160 |
|
4,269 |
3,735 |
$13K |
| 90633 |
|
554 |
532 |
$12K |
| 90656 |
|
521 |
515 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
321 |
310 |
$11K |
| 90620 |
|
475 |
452 |
$11K |
| 87807 |
|
925 |
844 |
$10K |
| 90619 |
|
336 |
331 |
$8K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
26 |
26 |
$7K |
| 92567 |
|
434 |
393 |
$7K |
| 99495 |
|
27 |
26 |
$5K |
| 90715 |
|
174 |
170 |
$4K |
| 90744 |
|
181 |
177 |
$4K |
| 94760 |
|
2,759 |
2,409 |
$4K |
| 81002 |
|
1,444 |
1,365 |
$4K |
| 90734 |
|
172 |
166 |
$4K |
| 96161 |
|
1,323 |
1,269 |
$4K |
| 99381 |
|
29 |
25 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
118 |
111 |
$3K |
| 90710 |
|
113 |
110 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
68 |
61 |
$2K |
| 90696 |
|
83 |
80 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
106 |
92 |
$2K |
| 90716 |
|
54 |
50 |
$1K |
| 90707 |
|
42 |
38 |
$861.36 |
| 94664 |
|
68 |
64 |
$798.48 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
68 |
66 |
$756.50 |
| 90700 |
|
29 |
29 |
$661.84 |
| 90648 |
|
26 |
26 |
$592.00 |
| 88720 |
|
100 |
79 |
$414.20 |
| 91321 |
|
17 |
15 |
$395.76 |
| 81025 |
|
58 |
55 |
$378.02 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
53 |
50 |
$348.74 |
| 99072 |
|
5,905 |
5,199 |
$337.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
14 |
$186.60 |
| 80305 |
|
12 |
12 |
$135.26 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
13 |
13 |
$71.95 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
55 |
54 |
$54.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
15 |
14 |
$25.23 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$21.00 |
| 36416 |
|
82 |
68 |
$18.00 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
68 |
65 |
$12.99 |
| G9919 |
Screening performed and positive and provision of recommendations |
764 |
720 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
480 |
454 |
$0.00 |
| 87299 |
|
1,084 |
1,022 |
$0.00 |
| G9920 |
Screening performed and negative |
1,294 |
1,222 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,936 |
1,831 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,425 |
1,347 |
$0.00 |
| G9521 |
Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months |
177 |
158 |
$0.00 |
| G9432 |
Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented |
33 |
25 |
$0.00 |