| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,851 |
13,389 |
$1.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,559 |
7,151 |
$853K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
7,576 |
7,145 |
$331K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,913 |
5,965 |
$323K |
| 86328 |
|
5,942 |
5,761 |
$223K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,132 |
2,111 |
$204K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,264 |
2,066 |
$203K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,965 |
1,957 |
$187K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,478 |
7,299 |
$162K |
| 94060 |
|
3,397 |
3,384 |
$155K |
| 92552 |
|
5,823 |
5,806 |
$143K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,311 |
1,307 |
$137K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,074 |
4,053 |
$62K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,293 |
2,634 |
$61K |
| 99223 |
Prolong inpt eval add15 m |
359 |
359 |
$60K |
| 99401 |
|
5,259 |
5,019 |
$55K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
381 |
381 |
$35K |
| 92081 |
|
1,153 |
1,151 |
$35K |
| 92570 |
|
1,409 |
1,372 |
$33K |
| 86580 |
|
5,545 |
5,535 |
$28K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,020 |
3,010 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,960 |
4,661 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,091 |
6,983 |
$24K |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
5,087 |
5,056 |
$23K |
| 36400 |
|
973 |
949 |
$20K |
| 87070 |
|
3,168 |
3,018 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,530 |
2,527 |
$18K |
| 92587 |
|
697 |
696 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,343 |
3,178 |
$18K |
| 95930 |
|
228 |
226 |
$18K |
| 87184 |
|
3,156 |
3,005 |
$16K |
| 99233 |
Prolong inpt eval add15 m |
169 |
145 |
$15K |
| 81000 |
|
4,817 |
4,749 |
$14K |
| 36410 |
|
890 |
881 |
$12K |
| 69200 |
|
161 |
157 |
$12K |
| 83655 |
|
1,289 |
1,287 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
105 |
105 |
$11K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
527 |
525 |
$10K |
| 99188 |
|
810 |
809 |
$9K |
| 99173 |
|
2,656 |
2,655 |
$6K |
| 97802 |
|
1,755 |
1,747 |
$4K |
| 0001A |
|
135 |
134 |
$4K |
| 99050 |
|
590 |
579 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
31 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
212 |
202 |
$3K |
| 0002A |
|
101 |
101 |
$3K |
| 99406 |
|
188 |
187 |
$3K |
| 96127 |
|
567 |
560 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 0071A |
|
65 |
65 |
$2K |
| 90686 |
|
744 |
743 |
$2K |
| 92015 |
Determination of refractive state |
1,038 |
1,037 |
$2K |
| 90461 |
|
914 |
907 |
$2K |
| 96160 |
|
788 |
759 |
$2K |
| 0072A |
|
39 |
39 |
$1K |
| 90670 |
|
76 |
76 |
$1K |
| 99177 |
|
909 |
906 |
$988.14 |
| 90672 |
|
299 |
299 |
$827.72 |
| 90700 |
|
298 |
298 |
$375.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
22 |
19 |
$354.00 |
| 90713 |
|
203 |
203 |
$347.41 |
| 90480 |
|
12 |
12 |
$266.24 |
| 36415 |
Collection of venous blood by venipuncture |
1,210 |
1,199 |
$245.30 |
| 90715 |
|
25 |
25 |
$227.82 |
| 96161 |
|
101 |
93 |
$171.58 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$144.97 |
| 94760 |
|
110 |
109 |
$136.54 |
| 90707 |
|
37 |
37 |
$80.00 |
| 81003 |
|
32 |
32 |
$79.77 |
| 90648 |
|
65 |
65 |
$75.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
16 |
13 |
$70.38 |
| 94664 |
|
12 |
12 |
$51.42 |
| 91300 |
|
255 |
244 |
$36.18 |
| 91307 |
|
164 |
163 |
$32.40 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$23.40 |
| 99072 |
|
4,546 |
3,807 |
$0.00 |
| A4550 |
Surgical trays |
269 |
267 |
$0.00 |
| 99001 |
|
42 |
40 |
$0.00 |
| 90685 |
|
37 |
37 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90619 |
|
63 |
63 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 99058 |
|
27 |
26 |
$0.00 |