| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35,849 |
32,675 |
$1.58M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,358 |
21,955 |
$740K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,883 |
8,627 |
$718K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,486 |
7,286 |
$570K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
35,732 |
14,169 |
$367K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,347 |
3,249 |
$267K |
| 87631 |
|
1,617 |
1,560 |
$182K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
724 |
450 |
$108K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
3,713 |
3,425 |
$94K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,147 |
6,869 |
$88K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,040 |
5,670 |
$64K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
619 |
591 |
$52K |
| 99091 |
|
393 |
383 |
$48K |
| 90461 |
|
11,884 |
9,164 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
771 |
729 |
$36K |
| 99215 |
Prolong outpt/office vis |
388 |
381 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
894 |
848 |
$21K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
555 |
357 |
$15K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
235 |
228 |
$15K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
186 |
183 |
$13K |
| 81002 |
|
4,440 |
2,707 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
521 |
428 |
$11K |
| 87581 |
|
546 |
357 |
$10K |
| 87486 |
|
547 |
357 |
$10K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,716 |
1,194 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
236 |
224 |
$8K |
| 99460 |
|
101 |
101 |
$8K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
554 |
356 |
$6K |
| 11721 |
|
1,293 |
1,259 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
769 |
692 |
$4K |
| 69210 |
|
123 |
82 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
39 |
$3K |
| 99381 |
|
27 |
27 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$2K |
| 0071A |
|
34 |
33 |
$1K |
| 99318 |
|
17 |
17 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
92 |
86 |
$1K |
| 59430 |
|
13 |
12 |
$1K |
| 0072A |
|
31 |
31 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
95 |
86 |
$977.72 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
18 |
$814.14 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
86 |
72 |
$763.52 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
590 |
580 |
$737.49 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
263 |
185 |
$692.86 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
24 |
24 |
$552.95 |
| 99462 |
|
15 |
12 |
$543.48 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
13 |
$514.27 |
| 0001A |
|
47 |
47 |
$507.76 |
| 90671 |
|
2,698 |
2,650 |
$441.81 |
| 80053 |
Comprehensive metabolic panel |
69 |
66 |
$406.00 |
| 80061 |
Lipid panel |
53 |
49 |
$388.16 |
| 99490 |
Ccm add 20min |
128 |
128 |
$334.38 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
26 |
25 |
$287.70 |
| 90686 |
|
1,798 |
1,655 |
$263.54 |
| 0002A |
|
39 |
39 |
$227.12 |
| 82950 |
|
49 |
39 |
$140.54 |
| 11056 |
|
40 |
38 |
$72.18 |
| 99307 |
|
81 |
66 |
$31.64 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$28.22 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$24.48 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
29 |
27 |
$24.17 |
| 90656 |
|
112 |
112 |
$16.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
12 |
$15.68 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
12 |
$14.88 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
89 |
84 |
$12.70 |
| 90697 |
|
587 |
577 |
$1.14 |
| 97802 |
|
227 |
216 |
$0.34 |
| 91307 |
|
66 |
54 |
$0.17 |
| 99172 |
|
22 |
22 |
$0.05 |
| 99173 |
|
1,922 |
1,844 |
$0.00 |
| 90633 |
|
1,782 |
1,696 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
52 |
47 |
$0.00 |
| 90670 |
|
3,892 |
3,745 |
$0.00 |
| 90710 |
|
1,038 |
1,005 |
$0.00 |
| 90621 |
|
98 |
92 |
$0.00 |
| 3288F |
|
47 |
39 |
$0.00 |
| 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) |
235 |
216 |
$0.00 |
| 3078F |
|
16 |
16 |
$0.00 |
| 90734 |
|
17 |
13 |
$0.00 |
| 4004F |
|
32 |
28 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
47 |
39 |
$0.00 |
| 90715 |
|
14 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
165 |
144 |
$0.00 |
| 90680 |
|
4,125 |
3,991 |
$0.00 |
| 90698 |
|
5,084 |
4,895 |
$0.00 |
| 90744 |
|
1,760 |
1,666 |
$0.00 |
| 3008F |
|
329 |
309 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
47 |
39 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
183 |
182 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
59 |
51 |
$0.00 |
| 3074F |
|
16 |
16 |
$0.00 |
| 90696 |
|
59 |
55 |
$0.00 |
| 99459 |
|
13 |
13 |
$0.00 |
| 90651 |
|
42 |
37 |
$0.00 |
| 96127 |
|
18 |
17 |
$0.00 |