| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,512 |
32,253 |
$213K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,772 |
3,678 |
$130K |
| 92552 |
|
16,473 |
16,416 |
$120K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,473 |
8,321 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,030 |
5,816 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,527 |
9,295 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,584 |
8,455 |
$35K |
| 99381 |
|
330 |
283 |
$26K |
| 90686 |
|
5,227 |
5,185 |
$22K |
| 90648 |
|
3,983 |
3,955 |
$21K |
| 90670 |
|
4,077 |
4,056 |
$21K |
| G9920 |
Screening performed and negative |
12,529 |
12,502 |
$21K |
| 90723 |
|
2,981 |
2,958 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,905 |
4,844 |
$17K |
| 90680 |
|
2,036 |
2,025 |
$13K |
| 90716 |
|
2,673 |
2,658 |
$12K |
| 90707 |
|
2,621 |
2,606 |
$11K |
| 90633 |
|
2,344 |
2,324 |
$9K |
| 86580 |
|
2,467 |
2,441 |
$9K |
| 90651 |
|
2,063 |
2,052 |
$9K |
| 90734 |
|
1,582 |
1,572 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,676 |
5,584 |
$6K |
| 90696 |
|
1,221 |
1,217 |
$5K |
| 0001A |
|
92 |
92 |
$4K |
| 99215 |
Prolong outpt/office vis |
281 |
274 |
$3K |
| 90700 |
|
762 |
755 |
$3K |
| 90715 |
|
791 |
787 |
$3K |
| 90620 |
|
595 |
595 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
689 |
688 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,426 |
1,399 |
$2K |
| 85018 |
|
16,724 |
16,521 |
$2K |
| 99460 |
|
40 |
40 |
$2K |
| 99491 |
Ccm add 20min |
372 |
338 |
$2K |
| 81003 |
|
17,065 |
16,628 |
$2K |
| 92551 |
|
3,029 |
2,983 |
$2K |
| 0002A |
|
44 |
44 |
$2K |
| 99383 |
|
110 |
110 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,689 |
2,654 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
452 |
442 |
$963.96 |
| 94760 |
|
26,251 |
24,937 |
$934.77 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,149 |
4,139 |
$851.20 |
| 90685 |
|
163 |
155 |
$801.63 |
| 99173 |
|
17,608 |
17,531 |
$712.50 |
| 99382 |
|
29 |
28 |
$379.57 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
82 |
82 |
$364.35 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, 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 |
1,327 |
1,304 |
$357.85 |
| 90656 |
|
13 |
13 |
$325.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
31 |
27 |
$310.52 |
| 99490 |
Ccm add 20min |
234 |
234 |
$267.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
621 |
616 |
$198.28 |
| 81001 |
|
92 |
85 |
$193.40 |
| G9919 |
Screening performed and positive and provision of recommendations |
41 |
41 |
$116.00 |
| 99417 |
Prolong home eval add 15m |
27 |
27 |
$112.40 |
| 83655 |
|
13 |
13 |
$105.14 |
| 96150 |
|
795 |
789 |
$92.81 |
| H0049 |
Alcohol and/or drug screening |
534 |
533 |
$25.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
67 |
66 |
$9.90 |
| 96160 |
|
3,519 |
3,515 |
$7.11 |
| 92587 |
|
809 |
806 |
$0.00 |
| 90677 |
|
15 |
15 |
$0.00 |
| 1036F |
|
1,490 |
1,489 |
$0.00 |
| 3008F |
|
60 |
60 |
$0.00 |
| 99384 |
|
42 |
39 |
$0.00 |
| 99441 |
|
50 |
46 |
$0.00 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
80 |
77 |
$0.00 |
| 92560 |
|
67 |
67 |
$0.00 |
| 81000 |
|
204 |
202 |
$0.00 |
| 99439 |
|
13 |
13 |
$0.00 |
| 17000 |
|
28 |
27 |
$0.00 |
| 3725F |
|
701 |
697 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55 |
54 |
$0.00 |
| 99401 |
|
56 |
56 |
$0.00 |
| 82948 |
|
30 |
30 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
32 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 99201 |
|
12 |
12 |
$0.00 |