| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,614 |
6,083 |
$560K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,382 |
7,562 |
$488K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,192 |
3,099 |
$236K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,064 |
2,980 |
$231K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,403 |
2,320 |
$194K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,564 |
2,180 |
$175K |
| 92551 |
|
7,440 |
7,154 |
$70K |
| 90651 |
|
1,379 |
1,332 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,202 |
1,107 |
$43K |
| 90670 |
|
1,738 |
1,627 |
$42K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,147 |
4,879 |
$42K |
| 97802 |
|
2,823 |
2,687 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,585 |
2,482 |
$35K |
| 90686 |
|
2,754 |
2,645 |
$33K |
| 97803 |
|
3,783 |
3,655 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,139 |
1,097 |
$30K |
| 90700 |
|
1,777 |
1,677 |
$20K |
| 96127 |
|
4,057 |
3,876 |
$19K |
| 99188 |
|
936 |
905 |
$19K |
| 90680 |
|
1,103 |
1,024 |
$18K |
| 90633 |
|
1,344 |
1,303 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,164 |
1,104 |
$17K |
| 90716 |
|
812 |
780 |
$16K |
| 99173 |
|
6,915 |
6,676 |
$16K |
| 90734 |
|
620 |
589 |
$15K |
| 90707 |
|
961 |
926 |
$15K |
| 90621 |
|
405 |
385 |
$14K |
| 90713 |
|
1,105 |
1,005 |
$12K |
| 90648 |
|
957 |
892 |
$10K |
| 90744 |
|
762 |
689 |
$9K |
| 90619 |
|
265 |
260 |
$8K |
| 99177 |
|
2,111 |
2,002 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
460 |
348 |
$7K |
| 90698 |
|
362 |
334 |
$6K |
| 0001A |
|
158 |
154 |
$6K |
| 90672 |
|
449 |
423 |
$6K |
| 0071A |
|
149 |
146 |
$6K |
| 0072A |
|
132 |
131 |
$5K |
| 0002A |
|
129 |
126 |
$5K |
| 99381 |
|
83 |
71 |
$5K |
| 99383 |
|
53 |
50 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,232 |
1,181 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
311 |
277 |
$4K |
| 99000 |
|
1,573 |
1,496 |
$4K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
13 |
13 |
$4K |
| 90677 |
|
214 |
203 |
$3K |
| 86580 |
|
402 |
380 |
$3K |
| 90715 |
|
224 |
215 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$2K |
| 99401 |
|
341 |
289 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
25 |
$2K |
| 90685 |
|
173 |
160 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$2K |
| 96161 |
|
948 |
683 |
$2K |
| 94760 |
|
1,998 |
1,799 |
$1K |
| 99058 |
|
53 |
52 |
$1K |
| Q3014 |
Telehealth originating site facility fee |
41 |
39 |
$989.12 |
| 90620 |
|
52 |
49 |
$729.29 |
| 0011A |
|
15 |
14 |
$550.00 |
| 0012A |
|
13 |
13 |
$520.00 |
| 0081A |
|
13 |
13 |
$520.00 |
| 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) |
76 |
73 |
$425.86 |
| 97804 |
|
269 |
265 |
$364.17 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
292 |
263 |
$305.25 |
| A7015 |
Aerosol mask, used with dme nebulizer |
315 |
282 |
$269.70 |
| 95117 |
|
31 |
12 |
$268.77 |
| 87807 |
|
20 |
19 |
$262.66 |
| 99050 |
|
17 |
17 |
$195.68 |
| 94664 |
|
17 |
15 |
$143.40 |
| 81002 |
|
47 |
43 |
$136.16 |
| 90687 |
|
12 |
12 |
$122.10 |
| 85018 |
|
25 |
25 |
$66.12 |
| 99402 |
|
12 |
12 |
$25.00 |
| S8110 |
Peak expiratory flow rate (physician services) |
48 |
40 |
$14.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
72 |
$14.05 |
| 36416 |
|
14 |
14 |
$11.22 |
| 91300 |
|
299 |
249 |
$2.50 |
| 91307 |
|
272 |
242 |
$1.95 |
| 91301 |
|
33 |
32 |
$0.27 |
| 91308 |
|
29 |
27 |
$0.25 |
| G8482 |
Influenza immunization administered or previously received |
1,104 |
1,041 |
$0.01 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
436 |
421 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
52 |
52 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
15 |
14 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
312 |
309 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
982 |
956 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
33 |
33 |
$0.00 |