| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,096 |
12,204 |
$846K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,630 |
3,614 |
$274K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,830 |
9,323 |
$268K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,281 |
3,274 |
$243K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,963 |
2,800 |
$204K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,993 |
1,986 |
$162K |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
8,970 |
8,944 |
$160K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,751 |
2,699 |
$103K |
| 92587 |
|
5,747 |
5,702 |
$95K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,401 |
2,368 |
$43K |
| 4124F |
|
2,312 |
2,227 |
$39K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,415 |
2,411 |
$33K |
| 83655 |
|
2,753 |
2,727 |
$33K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,435 |
1,398 |
$28K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,566 |
1,514 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,451 |
2,440 |
$25K |
| 90697 |
|
171 |
171 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
8,172 |
7,931 |
$20K |
| 36406 |
|
1,142 |
1,124 |
$19K |
| 99173 |
|
6,141 |
6,114 |
$18K |
| 81000 |
|
4,870 |
4,675 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
197 |
197 |
$16K |
| 92558 |
|
2,433 |
2,391 |
$14K |
| 0001A |
|
266 |
265 |
$10K |
| 0002A |
|
265 |
264 |
$10K |
| 96127 |
|
2,510 |
2,497 |
$10K |
| 99381 |
|
133 |
133 |
$9K |
| 0071A |
|
253 |
253 |
$9K |
| 0072A |
|
237 |
235 |
$8K |
| 86480 |
|
268 |
263 |
$6K |
| 86580 |
|
641 |
629 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
660 |
659 |
$5K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
643 |
640 |
$5K |
| Q3014 |
Telehealth originating site facility fee |
125 |
123 |
$4K |
| D1206 |
Topical application of fluoride varnish |
59 |
59 |
$4K |
| 99443 |
|
45 |
44 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
130 |
128 |
$3K |
| 99383 |
|
25 |
25 |
$2K |
| 90461 |
|
286 |
284 |
$2K |
| 99188 |
|
151 |
150 |
$2K |
| 99496 |
|
12 |
12 |
$1K |
| 87807 |
|
76 |
74 |
$969.40 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$915.99 |
| 99442 |
|
13 |
13 |
$578.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
171 |
167 |
$576.95 |
| 0082A |
|
14 |
14 |
$560.00 |
| 0003A |
|
14 |
14 |
$520.00 |
| 90686 |
|
1,450 |
1,442 |
$218.32 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
28 |
26 |
$209.62 |
| 96160 |
|
974 |
974 |
$125.27 |
| 90651 |
|
27 |
27 |
$123.13 |
| 0031A |
|
34 |
34 |
$120.00 |
| 90685 |
|
158 |
157 |
$43.01 |
| 91307 |
|
246 |
225 |
$4.13 |
| 91300 |
|
172 |
164 |
$1.62 |
| 90670 |
|
433 |
428 |
$0.00 |
| 99080 |
|
7,808 |
948 |
$0.00 |
| 90633 |
|
231 |
231 |
$0.00 |
| 90648 |
|
84 |
83 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, 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; 5-10 minutes of medical discussion |
12 |
12 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
53 |
53 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |
| 90698 |
|
82 |
80 |
$0.00 |
| 90680 |
|
189 |
185 |
$0.00 |
| 90656 |
|
59 |
59 |
$0.00 |
| 99441 |
|
27 |
24 |
$0.00 |
| 90744 |
|
25 |
25 |
$0.00 |
| 90688 |
|
105 |
104 |
$0.00 |