| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,339 |
22,194 |
$1.76M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,053 |
28,555 |
$1.43M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,090 |
5,977 |
$437K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,523 |
4,417 |
$332K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,274 |
4,159 |
$268K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,696 |
2,233 |
$130K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,021 |
1,936 |
$110K |
| 99051 |
|
3,697 |
3,500 |
$86K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,047 |
3,739 |
$77K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,455 |
1,382 |
$76K |
| 90686 |
|
8,355 |
7,591 |
$39K |
| 90670 |
|
6,105 |
5,972 |
$38K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,912 |
998 |
$36K |
| 90734 |
|
1,803 |
1,736 |
$32K |
| 90461 |
|
914 |
851 |
$30K |
| 90648 |
|
7,094 |
6,940 |
$27K |
| 99215 |
Prolong outpt/office vis |
304 |
255 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
312 |
310 |
$24K |
| 90723 |
|
5,328 |
5,238 |
$21K |
| 90651 |
|
2,556 |
2,480 |
$21K |
| 90680 |
|
4,649 |
4,598 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,191 |
2,065 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,572 |
1,563 |
$15K |
| 90633 |
|
3,748 |
3,597 |
$14K |
| 90715 |
|
1,474 |
1,421 |
$9K |
| 90620 |
|
771 |
744 |
$8K |
| 90710 |
|
1,772 |
1,730 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
335 |
335 |
$7K |
| 90696 |
|
1,678 |
1,632 |
$6K |
| 90700 |
|
1,723 |
1,643 |
$6K |
| 90716 |
|
1,680 |
1,617 |
$6K |
| 90707 |
|
1,632 |
1,576 |
$6K |
| 99188 |
|
321 |
321 |
$6K |
| 99242 |
|
65 |
65 |
$6K |
| 92551 |
|
3,187 |
3,119 |
$4K |
| 87428 |
|
308 |
300 |
$4K |
| 99381 |
|
69 |
69 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,101 |
881 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
56 |
$3K |
| 99173 |
|
1,138 |
1,111 |
$3K |
| 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) |
136 |
125 |
$2K |
| 99243 |
|
14 |
14 |
$2K |
| 99177 |
|
761 |
745 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 17110 |
|
69 |
69 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 96127 |
|
1,254 |
1,226 |
$716.40 |
| 96161 |
|
935 |
903 |
$502.44 |
| 96160 |
|
1,269 |
1,242 |
$415.46 |
| 0001A |
|
34 |
34 |
$351.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
16 |
$330.00 |
| 90744 |
|
29 |
29 |
$324.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$260.10 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
30 |
26 |
$223.24 |
| 0071A |
|
421 |
421 |
$177.00 |
| 85018 |
|
94 |
93 |
$176.79 |
| 88720 |
|
19 |
15 |
$126.55 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
450 |
436 |
$121.56 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
346 |
323 |
$7.18 |
| 36416 |
|
81 |
75 |
$3.66 |
| G9920 |
Screening performed and negative |
223 |
197 |
$0.00 |
| 90661 |
|
612 |
611 |
$0.00 |
| 0002A |
|
31 |
31 |
$0.00 |
| 83655 |
|
94 |
93 |
$0.00 |
| 91321 |
|
62 |
59 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
442 |
418 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
179 |
116 |
$0.00 |
| 90619 |
|
759 |
733 |
$0.00 |
| 90677 |
|
1,242 |
1,233 |
$0.00 |
| 90656 |
|
166 |
166 |
$0.00 |
| 0072A |
|
384 |
384 |
$0.00 |
| 90381 |
|
25 |
25 |
$0.00 |
| 0112A |
|
12 |
12 |
$0.00 |
| 0111A |
|
24 |
24 |
$0.00 |