| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
105,617 |
97,131 |
$1.10M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
33,296 |
31,262 |
$808K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17,709 |
16,931 |
$456K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
36,309 |
35,600 |
$429K |
| G9920 |
Screening performed and negative |
7,489 |
7,467 |
$194K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,487 |
12,226 |
$174K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13,903 |
13,861 |
$152K |
| 90670 |
|
26,601 |
25,480 |
$124K |
| 90686 |
|
22,925 |
22,662 |
$102K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,865 |
13,855 |
$101K |
| 90697 |
|
2,611 |
2,482 |
$100K |
| 90698 |
|
20,422 |
19,446 |
$99K |
| 90680 |
|
16,823 |
15,848 |
$83K |
| 99188 |
|
10,173 |
9,991 |
$80K |
| 90744 |
|
11,031 |
10,547 |
$62K |
| 90633 |
|
12,393 |
12,113 |
$62K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,951 |
1,862 |
$54K |
| 92551 |
|
9,397 |
9,350 |
$33K |
| 99381 |
|
1,234 |
1,196 |
$32K |
| 83655 |
|
6,600 |
6,364 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,535 |
3,522 |
$23K |
| 96127 |
|
6,713 |
6,647 |
$20K |
| 99382 |
|
878 |
871 |
$19K |
| 90716 |
|
3,916 |
3,758 |
$18K |
| 90707 |
|
3,728 |
3,572 |
$18K |
| 99383 |
|
924 |
922 |
$18K |
| 90700 |
|
2,802 |
2,741 |
$17K |
| 92587 |
|
271 |
267 |
$17K |
| 90671 |
|
783 |
781 |
$10K |
| 90696 |
|
2,460 |
2,441 |
$10K |
| 85018 |
|
16,358 |
15,963 |
$10K |
| 90710 |
|
2,524 |
2,498 |
$9K |
| 90656 |
|
1,185 |
1,176 |
$9K |
| 0071A |
|
196 |
196 |
$8K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,473 |
1,409 |
$7K |
| 92552 |
|
5,282 |
5,246 |
$7K |
| 90651 |
|
2,364 |
2,348 |
$7K |
| 90677 |
|
2,136 |
2,077 |
$6K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
7,040 |
6,676 |
$6K |
| 90647 |
|
336 |
333 |
$4K |
| 90734 |
|
1,664 |
1,646 |
$4K |
| 90648 |
|
1,461 |
1,420 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
257 |
250 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,097 |
1,061 |
$3K |
| 99384 |
|
218 |
216 |
$3K |
| 0072A |
|
67 |
67 |
$3K |
| 90685 |
|
353 |
332 |
$3K |
| 99173 |
|
6,751 |
6,688 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
162 |
156 |
$2K |
| 90715 |
|
1,112 |
1,094 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
654 |
649 |
$2K |
| 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 |
200 |
194 |
$2K |
| 90688 |
|
780 |
776 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,554 |
1,525 |
$988.89 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
165 |
156 |
$779.25 |
| 87807 |
|
138 |
135 |
$691.80 |
| 90480 |
|
14 |
14 |
$560.00 |
| 90619 |
|
239 |
239 |
$270.90 |
| 90723 |
|
221 |
221 |
$243.00 |
| 99460 |
|
201 |
201 |
$176.64 |
| 90620 |
|
46 |
46 |
$126.00 |
| Q3014 |
Telehealth originating site facility fee |
34 |
34 |
$68.13 |
| 81003 |
|
513 |
501 |
$59.62 |
| 92558 |
|
33 |
33 |
$20.79 |
| 90674 |
|
140 |
140 |
$18.00 |
| 94664 |
|
13 |
13 |
$9.29 |
| 86580 |
|
507 |
503 |
$3.66 |
| 36416 |
|
717 |
648 |
$3.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
12 |
12 |
$0.10 |
| 81002 |
|
461 |
455 |
$0.00 |
| 80061 |
Lipid panel |
191 |
190 |
$0.00 |
| 99177 |
|
12 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
14 |
$0.00 |
| 90756 |
|
51 |
51 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$0.00 |
| 90713 |
|
21 |
20 |
$0.00 |
| 94760 |
|
238 |
214 |
$0.00 |
| 96161 |
|
98 |
86 |
$0.00 |
| 99462 |
|
146 |
107 |
$0.00 |