| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,220 |
27,075 |
$1.05M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19,633 |
13,874 |
$232K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,286 |
4,286 |
$209K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,132 |
4,131 |
$175K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,155 |
5,984 |
$166K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
17,660 |
17,630 |
$141K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13,681 |
13,324 |
$140K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,288 |
3,258 |
$94K |
| 90834 |
Psychotherapy, 45 minutes with patient |
609 |
526 |
$94K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,036 |
2,020 |
$91K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,030 |
2,030 |
$90K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
995 |
986 |
$74K |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
77 |
66 |
$63K |
| 96127 |
|
5,741 |
5,720 |
$58K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,039 |
1,033 |
$50K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,509 |
3,477 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
521 |
512 |
$20K |
| 99051 |
|
2,818 |
2,796 |
$20K |
| 81003 |
|
6,486 |
6,326 |
$15K |
| 83655 |
|
1,157 |
1,154 |
$13K |
| 85018 |
|
5,895 |
5,891 |
$13K |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
183 |
70 |
$11K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
44 |
39 |
$10K |
| 92587 |
|
520 |
504 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
33 |
32 |
$8K |
| 90480 |
|
192 |
188 |
$7K |
| 90461 |
|
2,241 |
2,230 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
555 |
552 |
$6K |
| 99188 |
|
212 |
212 |
$6K |
| 99173 |
|
375 |
375 |
$4K |
| 99050 |
|
215 |
214 |
$3K |
| 92551 |
|
324 |
323 |
$3K |
| T1020 |
Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
44 |
43 |
$2K |
| 83718 |
|
188 |
188 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
12 |
12 |
$1K |
| 82465 |
|
191 |
191 |
$948.16 |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
13 |
12 |
$939.90 |
| 87634 |
|
13 |
13 |
$804.96 |
| 94760 |
|
253 |
244 |
$629.77 |
| T2022 |
Case management, per month |
12 |
12 |
$607.68 |
| 90656 |
|
1,046 |
1,030 |
$605.38 |
| 99000 |
|
4,151 |
4,088 |
$596.44 |
| 90785 |
|
17 |
12 |
$552.50 |
| 90686 |
|
1,661 |
1,660 |
$460.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
63 |
62 |
$401.34 |
| 90688 |
|
1,091 |
1,090 |
$212.19 |
| 90621 |
|
28 |
28 |
$119.01 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
29 |
$79.12 |
| 90685 |
|
375 |
375 |
$0.00 |
| 99072 |
|
2,006 |
1,850 |
$0.00 |
| 90670 |
|
514 |
514 |
$0.00 |
| 90633 |
|
77 |
76 |
$0.00 |
| 90734 |
|
26 |
26 |
$0.00 |
| 90651 |
|
95 |
95 |
$0.00 |
| 90698 |
|
734 |
734 |
$0.00 |
| 90677 |
|
396 |
396 |
$0.00 |
| 90660 |
|
16 |
15 |
$0.00 |
| 90744 |
|
38 |
38 |
$0.00 |
| 90619 |
|
48 |
48 |
$0.00 |