| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,427 |
40,099 |
$289K |
| 92552 |
|
20,669 |
20,466 |
$193K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,706 |
4,601 |
$190K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,840 |
8,678 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
11,212 |
11,028 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,680 |
7,400 |
$59K |
| 99381 |
|
1,035 |
1,015 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,816 |
8,581 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
8,045 |
7,894 |
$45K |
| G9920 |
Screening performed and negative |
21,032 |
20,730 |
$42K |
| 92551 |
|
4,025 |
4,021 |
$36K |
| 90686 |
|
6,282 |
6,234 |
$36K |
| 90648 |
|
4,200 |
4,175 |
$29K |
| 90723 |
|
3,224 |
3,210 |
$23K |
| 90651 |
|
3,732 |
3,710 |
$22K |
| 90670 |
|
3,002 |
2,997 |
$21K |
| 90716 |
|
2,856 |
2,841 |
$18K |
| 90707 |
|
2,733 |
2,715 |
$17K |
| 90734 |
|
2,683 |
2,670 |
$16K |
| 86580 |
|
2,027 |
2,022 |
$16K |
| 90633 |
|
2,384 |
2,357 |
$14K |
| 90680 |
|
1,544 |
1,534 |
$12K |
| 94760 |
|
23,637 |
22,375 |
$10K |
| 90620 |
|
1,614 |
1,606 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,816 |
1,765 |
$8K |
| 90677 |
|
1,259 |
1,247 |
$8K |
| 90715 |
|
1,316 |
1,312 |
$8K |
| 90696 |
|
1,298 |
1,294 |
$8K |
| 99383 |
|
361 |
358 |
$6K |
| 90700 |
|
721 |
714 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,200 |
2,171 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
8,609 |
8,526 |
$4K |
| 85018 |
|
18,280 |
17,945 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,012 |
996 |
$3K |
| 99382 |
|
138 |
133 |
$3K |
| 99384 |
|
180 |
180 |
$3K |
| 81003 |
|
17,119 |
16,603 |
$2K |
| 90681 |
|
327 |
327 |
$2K |
| 0001A |
|
60 |
60 |
$2K |
| 0002A |
|
60 |
60 |
$2K |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment |
1,249 |
1,214 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
29 |
29 |
$1K |
| 88720 |
|
388 |
292 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,806 |
8,544 |
$1K |
| G9919 |
Screening performed and positive and provision of recommendations |
111 |
111 |
$722.39 |
| 99460 |
|
15 |
15 |
$713.72 |
| 81001 |
|
7,228 |
6,964 |
$696.80 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
15 |
$568.54 |
| 90685 |
|
80 |
79 |
$528.20 |
| 90656 |
|
70 |
70 |
$376.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
33 |
31 |
$360.00 |
| G9012 |
Other specified case management service not elsewhere classified |
154 |
146 |
$240.00 |
| 99173 |
|
23,888 |
23,601 |
$230.59 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,044 |
1,009 |
$221.97 |
| 83655 |
|
477 |
477 |
$210.28 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,837 |
3,733 |
$144.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
311 |
299 |
$119.80 |
| 90744 |
|
13 |
13 |
$77.82 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
55 |
53 |
$31.92 |
| 96150 |
|
25 |
25 |
$17.85 |
| 1036F |
|
1,719 |
1,718 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
3,968 |
3,858 |
$0.00 |
| 99441 |
|
1,539 |
1,532 |
$0.00 |
| 17340 |
|
19 |
17 |
$0.00 |
| 3008F |
|
56 |
55 |
$0.00 |
| 96160 |
|
10,259 |
9,973 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
15 |
14 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
78 |
78 |
$0.00 |
| 99442 |
|
204 |
202 |
$0.00 |
| 99401 |
|
47 |
46 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
12 |
12 |
$0.00 |
| 3725F |
|
41 |
41 |
$0.00 |