| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
78,890 |
60,894 |
$7.25M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29,307 |
24,980 |
$1.69M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14,806 |
13,556 |
$1.57M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12,316 |
11,790 |
$1.33M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
45,507 |
39,005 |
$1.19M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,950 |
7,821 |
$936K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
40,627 |
36,401 |
$932K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,368 |
5,170 |
$633K |
| 92552 |
|
13,072 |
13,038 |
$433K |
| 99441 |
|
12,683 |
11,481 |
$392K |
| 99401 |
|
15,845 |
14,793 |
$385K |
| 90461 |
|
9,867 |
9,502 |
$277K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
9,744 |
9,733 |
$226K |
| 99402 |
|
21,196 |
18,505 |
$178K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26,731 |
24,207 |
$79K |
| 99381 |
|
880 |
873 |
$69K |
| 90671 |
|
402 |
402 |
$58K |
| 99460 |
|
610 |
609 |
$58K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
471 |
455 |
$57K |
| 92551 |
|
6,552 |
6,533 |
$49K |
| 17250 |
|
509 |
418 |
$47K |
| 99496 |
|
416 |
414 |
$45K |
| 86769 |
|
5,910 |
5,491 |
$44K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
552 |
549 |
$40K |
| 99188 |
|
1,519 |
1,512 |
$28K |
| 87070 |
|
14,296 |
13,429 |
$26K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,964 |
2,961 |
$26K |
| 86580 |
|
2,449 |
2,432 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
185 |
185 |
$23K |
| 99495 |
|
270 |
264 |
$21K |
| 83655 |
|
1,814 |
1,807 |
$16K |
| D1206 |
Topical application of fluoride varnish |
1,313 |
1,309 |
$14K |
| 0002A |
|
1,851 |
1,841 |
$14K |
| 87430 |
|
3,671 |
3,592 |
$14K |
| 99461 |
|
135 |
134 |
$13K |
| 97802 |
|
11,093 |
11,028 |
$11K |
| 69210 |
|
2,063 |
2,036 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
575 |
565 |
$8K |
| 81002 |
|
3,146 |
3,110 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
57 |
$7K |
| 86804 |
|
2,322 |
2,248 |
$7K |
| 81000 |
|
2,141 |
2,136 |
$7K |
| 87110 |
|
418 |
417 |
$6K |
| 99173 |
|
12,690 |
12,574 |
$6K |
| 0001A |
|
1,190 |
1,185 |
$6K |
| 99442 |
|
125 |
119 |
$5K |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
440 |
437 |
$5K |
| 90620 |
|
551 |
546 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
352 |
350 |
$4K |
| 81001 |
|
1,893 |
1,886 |
$4K |
| 99383 |
|
24 |
24 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
25 |
25 |
$3K |
| 99386 |
|
16 |
16 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
179 |
179 |
$2K |
| 90716 |
|
3,528 |
3,526 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
8,166 |
7,981 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
5,610 |
5,226 |
$2K |
| 90686 |
|
7,914 |
7,908 |
$2K |
| 90649 |
|
1,027 |
1,027 |
$1K |
| 99072 |
|
965 |
842 |
$880.00 |
| 90672 |
|
859 |
859 |
$785.37 |
| 90707 |
|
3,084 |
3,084 |
$753.33 |
| 90688 |
|
2,335 |
2,334 |
$598.58 |
| 90670 |
|
4,435 |
4,421 |
$506.50 |
| 90674 |
|
414 |
414 |
$494.62 |
| 96161 |
|
226 |
225 |
$434.80 |
| 90715 |
|
680 |
680 |
$413.47 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$353.57 |
| 90657 |
|
611 |
611 |
$277.71 |
| 90651 |
|
15 |
15 |
$259.70 |
| 90633 |
|
2,855 |
2,852 |
$253.29 |
| 99001 |
|
24,531 |
22,352 |
$213.88 |
| 90744 |
|
1,685 |
1,683 |
$174.14 |
| 90734 |
|
935 |
931 |
$122.31 |
| 90661 |
|
297 |
297 |
$119.80 |
| 90647 |
|
3,382 |
3,377 |
$114.32 |
| 90656 |
|
655 |
654 |
$94.12 |
| 90685 |
|
899 |
899 |
$63.35 |
| 82272 |
|
15 |
14 |
$55.03 |
| 94760 |
|
525 |
485 |
$52.62 |
| 97803 |
|
195 |
195 |
$33.63 |
| 90723 |
|
3,134 |
3,129 |
$30.00 |
| 90700 |
|
1,508 |
1,507 |
$15.00 |
| 90681 |
|
2,368 |
2,367 |
$15.00 |
| 90687 |
|
102 |
102 |
$7.98 |
| 91300 |
|
3,139 |
2,914 |
$0.08 |
| 3008F |
|
4,628 |
4,623 |
$0.00 |
| 99090 |
|
512 |
500 |
$0.00 |
| 90696 |
|
907 |
906 |
$0.00 |
| 36416 |
|
115 |
105 |
$0.00 |
| 90698 |
|
72 |
71 |
$0.00 |
| 90619 |
|
28 |
28 |
$0.00 |
| 90660 |
|
79 |
79 |
$0.00 |
| 99002 |
|
13 |
13 |
$0.00 |
| 90713 |
|
190 |
190 |
$0.00 |
| 4551F |
|
268 |
267 |
$0.00 |
| 99091 |
|
626 |
607 |
$0.00 |