| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,639 |
34,037 |
$2.60M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,597 |
26,059 |
$1.03M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,021 |
7,675 |
$444K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,243 |
7,840 |
$443K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,197 |
6,753 |
$389K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,019 |
3,795 |
$224K |
| 87631 |
|
2,341 |
2,197 |
$209K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,041 |
1,010 |
$120K |
| 87428 |
|
1,914 |
1,536 |
$109K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,690 |
7,263 |
$95K |
| 99460 |
|
948 |
903 |
$95K |
| 99173 |
|
4,985 |
4,728 |
$91K |
| 90686 |
|
5,494 |
5,295 |
$75K |
| 90647 |
|
4,918 |
4,816 |
$63K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,211 |
1,179 |
$59K |
| 90670 |
|
5,249 |
5,147 |
$59K |
| 90723 |
|
5,035 |
4,942 |
$58K |
| 92552 |
|
3,369 |
3,211 |
$56K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,461 |
2,239 |
$54K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,986 |
1,759 |
$50K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,594 |
2,227 |
$37K |
| 83655 |
|
2,112 |
1,955 |
$33K |
| 90681 |
|
2,608 |
2,559 |
$30K |
| 90633 |
|
2,667 |
2,598 |
$29K |
| 90716 |
|
2,585 |
2,503 |
$29K |
| 90707 |
|
2,548 |
2,478 |
$29K |
| 71046 |
Radiologic examination, chest; 2 views |
757 |
710 |
$26K |
| 90651 |
|
1,397 |
1,361 |
$17K |
| 0071A |
|
213 |
170 |
$16K |
| 90677 |
|
1,223 |
1,159 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
510 |
497 |
$15K |
| 0072A |
|
157 |
149 |
$15K |
| 90734 |
|
1,092 |
1,060 |
$13K |
| 90688 |
|
1,336 |
1,308 |
$12K |
| 85018 |
|
2,645 |
2,452 |
$8K |
| 0002A |
|
91 |
90 |
$6K |
| 90715 |
|
470 |
455 |
$6K |
| 87807 |
|
450 |
424 |
$5K |
| 90696 |
|
477 |
458 |
$5K |
| 90656 |
|
323 |
316 |
$5K |
| 90700 |
|
404 |
394 |
$4K |
| 96127 |
|
1,867 |
1,480 |
$4K |
| 0001A |
|
61 |
61 |
$2K |
| 90620 |
|
156 |
144 |
$2K |
| 94664 |
|
136 |
135 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14 |
14 |
$961.40 |
| 74018 |
|
42 |
38 |
$930.17 |
| 99188 |
|
69 |
45 |
$847.85 |
| 90685 |
|
73 |
67 |
$630.96 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
14 |
$576.30 |
| 81002 |
|
369 |
340 |
$541.09 |
| 90672 |
|
30 |
30 |
$277.24 |
| 90674 |
|
13 |
13 |
$200.85 |
| 90381 |
|
13 |
13 |
$170.82 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$169.92 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
243 |
237 |
$61.60 |
| 94760 |
|
114 |
104 |
$57.20 |
| G0312 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) |
12 |
12 |
$13.43 |
| 36416 |
|
802 |
767 |
$0.00 |
| 96161 |
|
15 |
15 |
$0.00 |
| 96160 |
|
37 |
37 |
$0.00 |