| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67,545 |
60,318 |
$2.78M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24,601 |
24,381 |
$1.39M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18,797 |
18,466 |
$1.14M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14,720 |
14,626 |
$957K |
| 96156 |
|
16,643 |
16,465 |
$925K |
| G9920 |
Screening performed and negative |
18,468 |
18,415 |
$635K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,970 |
8,685 |
$556K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,230 |
6,214 |
$486K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,499 |
6,450 |
$411K |
| 99460 |
|
5,794 |
5,763 |
$359K |
| 99381 |
|
3,861 |
3,772 |
$279K |
| 92551 |
|
20,608 |
20,436 |
$260K |
| 90648 |
|
18,952 |
18,643 |
$198K |
| 90670 |
|
16,455 |
16,346 |
$180K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,339 |
2,289 |
$156K |
| 90723 |
|
14,962 |
14,757 |
$155K |
| 99188 |
|
7,223 |
7,152 |
$152K |
| 90686 |
|
13,838 |
13,569 |
$149K |
| 99462 |
|
3,990 |
3,441 |
$129K |
| 90680 |
|
11,496 |
11,292 |
$123K |
| 90633 |
|
10,139 |
10,020 |
$110K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,102 |
3,967 |
$105K |
| 90710 |
|
9,746 |
9,598 |
$104K |
| 99173 |
|
22,700 |
22,505 |
$101K |
| 99383 |
|
1,299 |
1,287 |
$97K |
| 83655 |
|
9,947 |
9,757 |
$91K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,420 |
2,345 |
$72K |
| 90651 |
|
5,580 |
5,527 |
$67K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,116 |
2,082 |
$65K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,101 |
4,099 |
$51K |
| 90696 |
|
4,690 |
4,616 |
$48K |
| 90700 |
|
4,398 |
4,363 |
$47K |
| 99382 |
|
659 |
649 |
$45K |
| 85018 |
|
21,760 |
21,351 |
$40K |
| 87428 |
|
660 |
637 |
$38K |
| 99222 |
Initial hospital care, per day, moderate complexity |
408 |
407 |
$37K |
| 99384 |
|
370 |
370 |
$34K |
| 17110 |
|
331 |
273 |
$31K |
| D1206 |
Topical application of fluoride varnish |
1,238 |
1,226 |
$27K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,765 |
1,740 |
$27K |
| 88720 |
|
5,971 |
5,600 |
$27K |
| 90677 |
|
2,046 |
1,964 |
$25K |
| 90734 |
|
2,358 |
2,338 |
$25K |
| 90715 |
|
2,252 |
2,241 |
$23K |
| 90620 |
|
1,439 |
1,425 |
$20K |
| 99215 |
Prolong outpt/office vis |
244 |
242 |
$14K |
| 90619 |
|
1,115 |
1,113 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,892 |
807 |
$12K |
| 90685 |
|
850 |
838 |
$10K |
| 90688 |
|
731 |
723 |
$8K |
| G9919 |
Screening performed and positive and provision of recommendations |
266 |
264 |
$8K |
| 69210 |
|
225 |
218 |
$8K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,461 |
2,419 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
119 |
83 |
$5K |
| 51701 |
|
48 |
42 |
$5K |
| 41010 |
|
26 |
25 |
$5K |
| 99463 |
|
50 |
50 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
254 |
243 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$4K |
| 96150 |
|
1,236 |
1,223 |
$4K |
| 81002 |
|
2,093 |
1,996 |
$3K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
168 |
168 |
$3K |
| 96127 |
|
523 |
523 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
388 |
366 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
22 |
$2K |
| 86580 |
|
454 |
424 |
$2K |
| 94664 |
|
93 |
88 |
$1K |
| 90621 |
|
69 |
64 |
$986.25 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$946.68 |
| 90381 |
|
81 |
72 |
$875.25 |
| 99441 |
|
14 |
14 |
$499.52 |
| 96111 |
|
35 |
35 |
$424.80 |
| 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 |
14 |
14 |
$350.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
52 |
50 |
$289.21 |
| 97802 |
|
196 |
196 |
$180.00 |
| 90707 |
|
24 |
24 |
$175.50 |
| 90713 |
|
13 |
13 |
$146.25 |
| 90380 |
|
15 |
15 |
$135.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
47 |
47 |
$132.00 |
| 90744 |
|
13 |
13 |
$105.75 |
| 81025 |
|
26 |
26 |
$72.80 |
| 90716 |
|
12 |
12 |
$51.75 |
| 90698 |
|
12 |
12 |
$45.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
193 |
185 |
$24.44 |
| 82962 |
|
12 |
12 |
$20.00 |
| 90672 |
|
14 |
14 |
$18.00 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
105 |
99 |
$17.01 |
| 94760 |
|
254 |
241 |
$13.98 |
| 96161 |
|
911 |
911 |
$3.40 |
| J7699 |
Noc drugs, inhalation solution administered through dme |
106 |
100 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
180 |
174 |
$0.00 |
| 91300 |
|
29 |
28 |
$0.00 |
| 3008F |
|
1,595 |
1,595 |
$0.00 |