| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95,978 |
84,827 |
$2.91M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16,614 |
16,150 |
$1.23M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28,200 |
27,215 |
$1.13M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
11,811 |
11,393 |
$849K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13,201 |
12,731 |
$840K |
| 90461 |
|
17,728 |
17,125 |
$702K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,110 |
11,998 |
$635K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,328 |
4,182 |
$348K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13,152 |
11,851 |
$140K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,364 |
3,747 |
$92K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,664 |
2,619 |
$45K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,336 |
1,202 |
$39K |
| 99215 |
Prolong outpt/office vis |
398 |
355 |
$25K |
| 90832 |
Psychotherapy, 30 minutes with patient |
599 |
432 |
$23K |
| 90837 |
Psychotherapy, 53 minutes with patient |
270 |
171 |
$21K |
| 90834 |
Psychotherapy, 45 minutes with patient |
394 |
305 |
$19K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
368 |
350 |
$18K |
| 90791 |
Psychiatric diagnostic evaluation |
196 |
186 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
541 |
525 |
$16K |
| 99460 |
|
376 |
353 |
$16K |
| 87807 |
|
1,702 |
1,569 |
$16K |
| 90670 |
|
8,935 |
8,612 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
322 |
294 |
$8K |
| 90698 |
|
8,773 |
8,459 |
$7K |
| 90680 |
|
6,376 |
6,161 |
$6K |
| 92587 |
|
153 |
149 |
$6K |
| 92558 |
|
827 |
801 |
$6K |
| 0071A |
|
156 |
151 |
$6K |
| 0072A |
|
124 |
123 |
$5K |
| 90710 |
|
2,498 |
2,426 |
$4K |
| 90633 |
|
4,524 |
4,384 |
$4K |
| 90688 |
|
3,580 |
3,495 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
136 |
133 |
$2K |
| 90677 |
|
1,516 |
1,487 |
$2K |
| 90687 |
|
2,182 |
2,119 |
$2K |
| 90744 |
|
2,600 |
2,506 |
$2K |
| 90651 |
|
412 |
394 |
$1K |
| 0001A |
|
33 |
32 |
$1K |
| 99417 |
Prolong home eval add 15m |
46 |
44 |
$771.09 |
| 85018 |
|
256 |
251 |
$580.54 |
| 90697 |
|
1,223 |
1,201 |
$564.30 |
| 0002A |
|
14 |
14 |
$520.00 |
| 90480 |
|
14 |
14 |
$480.00 |
| 90473 |
|
32 |
31 |
$456.86 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
58 |
54 |
$422.30 |
| 90734 |
|
173 |
167 |
$364.62 |
| 90672 |
|
560 |
533 |
$318.20 |
| 90696 |
|
106 |
106 |
$240.00 |
| 90619 |
|
133 |
128 |
$92.25 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
13 |
$72.40 |
| 90658 |
|
198 |
197 |
$25.79 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
30 |
28 |
$6.41 |
| 81002 |
|
28 |
25 |
$6.09 |
| 90715 |
|
57 |
54 |
$3.30 |
| 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) |
15 |
15 |
$0.00 |
| 90657 |
|
148 |
148 |
$0.00 |
| 90660 |
|
44 |
44 |
$0.00 |