| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,463 |
19,969 |
$1.48M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,626 |
14,683 |
$772K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
7,171 |
6,421 |
$222K |
| X5622 |
|
2,229 |
2,084 |
$118K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,514 |
6,254 |
$102K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
4,986 |
4,756 |
$102K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,430 |
1,407 |
$95K |
| 36415 |
Collection of venous blood by venipuncture |
18,437 |
16,855 |
$75K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,320 |
1,187 |
$75K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,577 |
1,533 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
788 |
773 |
$51K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
542 |
531 |
$48K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,057 |
1,993 |
$35K |
| 90686 |
|
4,178 |
4,063 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
393 |
376 |
$28K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
296 |
293 |
$28K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,604 |
3,421 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
279 |
263 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,284 |
1,250 |
$17K |
| 87480 |
|
812 |
784 |
$16K |
| 87660 |
|
812 |
784 |
$16K |
| 87510 |
|
812 |
784 |
$16K |
| 99188 |
|
1,881 |
1,856 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
582 |
482 |
$13K |
| 90832 |
Psychotherapy, 30 minutes with patient |
299 |
194 |
$13K |
| 90651 |
|
367 |
347 |
$12K |
| 92551 |
|
2,228 |
2,176 |
$11K |
| 96127 |
|
2,981 |
2,938 |
$11K |
| 90715 |
|
509 |
484 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
205 |
199 |
$7K |
| 83013 |
|
83 |
83 |
$6K |
| 81025 |
|
729 |
704 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
241 |
207 |
$5K |
| 99215 |
Prolong outpt/office vis |
42 |
41 |
$4K |
| 0001A |
|
104 |
104 |
$4K |
| 0002A |
|
84 |
84 |
$3K |
| 81001 |
|
1,090 |
1,043 |
$3K |
| 0054A |
|
75 |
75 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
461 |
452 |
$3K |
| 99173 |
|
2,264 |
2,208 |
$2K |
| 0124A |
|
65 |
64 |
$2K |
| 85018 |
|
944 |
931 |
$2K |
| 90670 |
|
740 |
700 |
$2K |
| 90656 |
|
165 |
165 |
$2K |
| 90677 |
|
42 |
41 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
159 |
137 |
$2K |
| 85027 |
|
257 |
245 |
$2K |
| 99442 |
|
25 |
25 |
$2K |
| 36416 |
|
349 |
327 |
$1K |
| 90480 |
|
26 |
26 |
$931.18 |
| 87800 |
|
15 |
15 |
$765.45 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
151 |
147 |
$733.61 |
| 81003 |
|
345 |
343 |
$617.81 |
| 83014 |
|
71 |
71 |
$579.26 |
| 0004A |
|
12 |
12 |
$493.68 |
| 90734 |
|
109 |
102 |
$389.98 |
| 96161 |
|
162 |
161 |
$302.73 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
13 |
$247.95 |
| 93000 |
|
25 |
25 |
$234.18 |
| 90473 |
|
12 |
12 |
$214.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
27 |
27 |
$140.04 |
| 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) |
22 |
21 |
$13.14 |
| 90723 |
|
474 |
446 |
$0.03 |
| 90647 |
|
434 |
406 |
$0.02 |
| 90620 |
|
27 |
24 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
83 |
81 |
$0.00 |
| 90696 |
|
41 |
40 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 90685 |
|
153 |
148 |
$0.00 |
| 90633 |
|
329 |
323 |
$0.00 |
| 90681 |
|
73 |
66 |
$0.00 |
| 90710 |
|
39 |
38 |
$0.00 |