| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,242 |
28,935 |
$2.74M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,936 |
24,458 |
$1.54M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,090 |
7,551 |
$591K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,170 |
6,401 |
$498K |
| 99443 |
|
4,907 |
4,521 |
$396K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,067 |
4,529 |
$383K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,697 |
4,202 |
$333K |
| 92552 |
|
11,170 |
9,745 |
$266K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,302 |
5,913 |
$185K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13,080 |
6,169 |
$171K |
| 90686 |
|
11,709 |
10,564 |
$129K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,763 |
8,208 |
$114K |
| 96127 |
|
21,634 |
13,786 |
$94K |
| 90670 |
|
3,031 |
2,919 |
$86K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,555 |
2,244 |
$77K |
| 99442 |
|
1,726 |
1,591 |
$77K |
| 99188 |
|
4,003 |
3,773 |
$73K |
| S8301 |
Infection control supplies, not otherwise specified |
5,734 |
4,391 |
$70K |
| 90651 |
|
1,249 |
1,154 |
$56K |
| 97802 |
|
13,424 |
12,043 |
$53K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32,148 |
17,800 |
$37K |
| 90698 |
|
1,862 |
1,775 |
$36K |
| 99401 |
|
1,841 |
1,734 |
$32K |
| 90716 |
|
1,331 |
1,239 |
$31K |
| 90680 |
|
1,605 |
1,533 |
$28K |
| 94664 |
|
2,284 |
2,074 |
$27K |
| 90677 |
|
465 |
438 |
$27K |
| Q3014 |
Telehealth originating site facility fee |
1,116 |
999 |
$27K |
| 90621 |
|
658 |
592 |
$25K |
| 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) |
3,365 |
2,945 |
$23K |
| 90633 |
|
1,765 |
1,637 |
$23K |
| 90707 |
|
1,222 |
1,139 |
$22K |
| 92567 |
|
1,431 |
1,296 |
$19K |
| 90619 |
|
598 |
575 |
$18K |
| 96160 |
|
7,356 |
6,672 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
198 |
181 |
$15K |
| 99174 |
|
3,244 |
2,977 |
$15K |
| 99000 |
|
4,753 |
4,403 |
$14K |
| 85018 |
|
6,480 |
5,936 |
$14K |
| 99173 |
|
6,146 |
5,281 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,111 |
1,018 |
$13K |
| 90461 |
|
8,478 |
7,301 |
$12K |
| 90744 |
|
972 |
916 |
$12K |
| A7010 |
Corrugated tubing, disposable, used with large volume nebulizer, 100 feet |
941 |
849 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,392 |
1,255 |
$11K |
| 90734 |
|
466 |
378 |
$11K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
964 |
867 |
$11K |
| 0072A |
|
252 |
251 |
$10K |
| 99177 |
|
2,247 |
2,136 |
$9K |
| 99051 |
|
1,014 |
957 |
$8K |
| 94060 |
|
227 |
130 |
$8K |
| 0071A |
|
169 |
168 |
$7K |
| 0001A |
|
173 |
172 |
$7K |
| 36416 |
|
7,256 |
6,590 |
$5K |
| 90715 |
|
288 |
278 |
$5K |
| 99215 |
Prolong outpt/office vis |
39 |
37 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
41 |
$4K |
| 99072 |
|
5,864 |
5,207 |
$4K |
| 90656 |
|
272 |
269 |
$4K |
| 99441 |
|
134 |
118 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,586 |
2,411 |
$3K |
| 86580 |
|
439 |
419 |
$3K |
| 97803 |
|
1,688 |
1,634 |
$3K |
| 96161 |
|
1,520 |
1,367 |
$3K |
| 90480 |
|
257 |
171 |
$3K |
| 0002A |
|
73 |
73 |
$3K |
| 90672 |
|
181 |
179 |
$3K |
| 91320 |
|
20 |
20 |
$3K |
| 94016 |
|
174 |
117 |
$2K |
| 99001 |
|
26,097 |
13,992 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
500 |
407 |
$2K |
| 81002 |
|
665 |
600 |
$2K |
| 94760 |
|
1,021 |
914 |
$2K |
| 90696 |
|
102 |
94 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,396 |
2,300 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 69200 |
|
13 |
12 |
$1K |
| 90700 |
|
101 |
94 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
967 |
870 |
$944.45 |
| 90648 |
|
78 |
65 |
$765.41 |
| 91319 |
|
51 |
32 |
$562.34 |
| 90660 |
|
38 |
32 |
$493.01 |
| 99358 |
Prolong nursin fac eval 15m |
41 |
41 |
$433.50 |
| A4617 |
Mouth piece |
171 |
144 |
$384.71 |
| 91318 |
|
43 |
16 |
$304.89 |
| 90688 |
|
12 |
12 |
$190.20 |
| 87420 |
|
104 |
91 |
$41.58 |
| A4616 |
Tubing (oxygen), per foot |
171 |
144 |
$7.26 |