| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,708 |
42,322 |
$467K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,769 |
2,717 |
$208K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,063 |
4,015 |
$199K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,433 |
10,411 |
$161K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,359 |
639 |
$152K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,936 |
4,631 |
$127K |
| 90837 |
Psychotherapy, 53 minutes with patient |
651 |
295 |
$89K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
833 |
441 |
$74K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,068 |
4,971 |
$51K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,090 |
4,023 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,949 |
5,597 |
$29K |
| 96160 |
|
12,278 |
11,688 |
$24K |
| 0002A |
|
629 |
612 |
$21K |
| 0001A |
|
489 |
479 |
$17K |
| 0071A |
|
485 |
479 |
$17K |
| 0072A |
|
447 |
439 |
$15K |
| 96156 |
|
275 |
240 |
$15K |
| 90686 |
|
6,408 |
6,297 |
$14K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
798 |
770 |
$12K |
| 0004A |
|
369 |
345 |
$11K |
| 90670 |
|
3,163 |
3,128 |
$10K |
| 0064A |
|
389 |
351 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
76 |
65 |
$9K |
| 92551 |
|
5,958 |
5,840 |
$9K |
| 0011A |
|
270 |
256 |
$8K |
| 0012A |
|
253 |
245 |
$8K |
| 90723 |
|
1,564 |
1,533 |
$7K |
| 90647 |
|
2,081 |
2,053 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,504 |
1,430 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
307 |
285 |
$4K |
| 90656 |
|
470 |
466 |
$3K |
| 90633 |
|
1,165 |
1,142 |
$3K |
| 99381 |
|
51 |
50 |
$3K |
| 0054A |
|
90 |
88 |
$3K |
| 99383 |
|
26 |
26 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,360 |
1,279 |
$3K |
| 0052A |
|
79 |
75 |
$3K |
| 90674 |
|
577 |
552 |
$3K |
| 99188 |
|
747 |
734 |
$2K |
| 99173 |
|
9,409 |
9,245 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
30 |
29 |
$2K |
| 90651 |
|
744 |
726 |
$2K |
| 90677 |
|
363 |
357 |
$1K |
| 90681 |
|
314 |
305 |
$1K |
| 84703 |
|
590 |
542 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
28 |
$1K |
| 0051A |
|
29 |
28 |
$1K |
| 90715 |
|
134 |
129 |
$892.01 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,219 |
1,195 |
$891.76 |
| 90661 |
|
75 |
72 |
$887.50 |
| 90680 |
|
511 |
509 |
$755.48 |
| 90734 |
|
487 |
476 |
$707.04 |
| 83655 |
|
700 |
687 |
$583.36 |
| 80305 |
|
110 |
108 |
$538.96 |
| 90756 |
|
156 |
143 |
$529.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
612 |
595 |
$495.87 |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
16 |
16 |
$460.80 |
| 0003A |
|
16 |
15 |
$436.00 |
| 90696 |
|
132 |
127 |
$333.76 |
| 81002 |
|
1,248 |
1,172 |
$324.33 |
| 90710 |
|
148 |
143 |
$311.80 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
29 |
$290.55 |
| 0124A |
|
12 |
12 |
$249.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,130 |
1,060 |
$247.68 |
| 85018 |
|
1,755 |
1,716 |
$241.72 |
| 90716 |
|
43 |
42 |
$239.32 |
| 90707 |
|
79 |
77 |
$226.16 |
| H0049 |
Alcohol and/or drug screening |
48 |
47 |
$211.50 |
| 96161 |
|
114 |
104 |
$204.99 |
| 90685 |
|
316 |
313 |
$199.84 |
| 90620 |
|
25 |
25 |
$192.72 |
| 0013A |
|
12 |
12 |
$180.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
28 |
27 |
$157.50 |
| 90698 |
|
13 |
12 |
$94.44 |
| 99442 |
|
15 |
15 |
$83.53 |
| 99441 |
|
45 |
32 |
$82.79 |
| 90700 |
|
25 |
25 |
$21.96 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
16 |
$21.63 |
| 84030 |
|
13 |
13 |
$13.84 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
43 |
39 |
$12.61 |
| 91306 |
|
378 |
340 |
$0.42 |
| 91305 |
|
242 |
229 |
$0.16 |
| 91307 |
|
987 |
928 |
$0.13 |
| 91312 |
|
12 |
12 |
$0.02 |
| 91301 |
|
628 |
582 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
107 |
105 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$0.00 |
| 91300 |
|
1,648 |
1,499 |
$0.00 |