| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,537 |
17,341 |
$1.25M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,997 |
6,924 |
$671K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,212 |
5,839 |
$572K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,521 |
4,505 |
$465K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,214 |
2,198 |
$248K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,024 |
5,454 |
$151K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,752 |
10,620 |
$139K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,876 |
6,910 |
$101K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,450 |
6,089 |
$81K |
| 87428 |
|
1,278 |
1,249 |
$76K |
| 99000 |
|
5,233 |
5,121 |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,265 |
1,221 |
$57K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
905 |
897 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
465 |
439 |
$43K |
| 99381 |
|
258 |
257 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,549 |
1,513 |
$25K |
| 90474 |
|
1,594 |
1,566 |
$17K |
| 90834 |
Psychotherapy, 45 minutes with patient |
295 |
241 |
$17K |
| 90461 |
|
2,598 |
2,162 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
736 |
366 |
$12K |
| 99383 |
|
89 |
87 |
$10K |
| 90832 |
Psychotherapy, 30 minutes with patient |
181 |
145 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
63 |
59 |
$5K |
| 0081A |
|
78 |
56 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$2K |
| 96381 |
|
123 |
123 |
$2K |
| 99382 |
|
16 |
16 |
$2K |
| 90677 |
|
1,710 |
1,643 |
$2K |
| 0071A |
|
32 |
30 |
$1K |
| 0072A |
|
27 |
27 |
$1K |
| 69210 |
|
29 |
28 |
$1K |
| 0082A |
|
36 |
30 |
$1K |
| 0054A |
|
13 |
13 |
$624.00 |
| 0154A |
|
13 |
13 |
$624.00 |
| 90651 |
|
1,180 |
1,168 |
$587.20 |
| 0074A |
|
12 |
12 |
$576.00 |
| 0124A |
|
12 |
12 |
$568.00 |
| 90621 |
|
180 |
178 |
$527.52 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
100 |
97 |
$504.00 |
| 90686 |
|
5,937 |
5,876 |
$461.24 |
| 99051 |
|
31 |
31 |
$405.72 |
| 96380 |
|
20 |
16 |
$326.35 |
| 81003 |
|
109 |
102 |
$238.96 |
| 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) |
304 |
277 |
$0.01 |
| 90710 |
|
336 |
334 |
$0.00 |
| 90648 |
|
424 |
418 |
$0.00 |
| 90670 |
|
3,249 |
3,159 |
$0.00 |
| 90633 |
|
2,249 |
2,219 |
$0.00 |
| 90707 |
|
369 |
363 |
$0.00 |
| 90715 |
|
95 |
95 |
$0.00 |
| 90380 |
|
42 |
37 |
$0.00 |
| 90734 |
|
142 |
141 |
$0.00 |
| 91308 |
|
175 |
151 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |
| 96127 |
|
50 |
47 |
$0.00 |
| 90680 |
|
3,092 |
2,972 |
$0.00 |
| 90697 |
|
1,755 |
1,660 |
$0.00 |
| 90716 |
|
325 |
320 |
$0.00 |
| 90723 |
|
283 |
280 |
$0.00 |
| 90656 |
|
1,088 |
1,085 |
$0.00 |
| 90619 |
|
244 |
244 |
$0.00 |
| 91307 |
|
195 |
187 |
$0.00 |
| 90698 |
|
1,156 |
1,152 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
90 |
90 |
$0.00 |
| 90696 |
|
309 |
307 |
$0.00 |
| 90744 |
|
34 |
34 |
$0.00 |
| 36416 |
|
92 |
91 |
$0.00 |
| 91305 |
|
47 |
46 |
$0.00 |
| 90381 |
|
85 |
83 |
$0.00 |
| 91315 |
|
13 |
13 |
$0.00 |