| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,013 |
13,021 |
$647K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,483 |
13,058 |
$445K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,623 |
2,347 |
$84K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,035 |
1,009 |
$59K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,735 |
2,513 |
$57K |
| 90837 |
Psychotherapy, 53 minutes with patient |
570 |
312 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
834 |
810 |
$43K |
| 92587 |
|
1,207 |
1,181 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
826 |
739 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
488 |
462 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,499 |
1,407 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
321 |
298 |
$17K |
| 64635 |
|
204 |
176 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
226 |
224 |
$12K |
| 99215 |
Prolong outpt/office vis |
180 |
155 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,120 |
1,100 |
$9K |
| 64493 |
|
131 |
100 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
624 |
298 |
$7K |
| 64636 |
|
203 |
174 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
53 |
$3K |
| 64494 |
|
115 |
84 |
$3K |
| 99205 |
Prolong outpt/office vis |
34 |
31 |
$3K |
| 99173 |
|
1,185 |
1,161 |
$3K |
| 90633 |
|
167 |
166 |
$2K |
| 99381 |
|
13 |
12 |
$791.12 |
| 99441 |
|
34 |
31 |
$588.68 |
| 20610 |
|
18 |
12 |
$546.39 |
| 96127 |
|
339 |
312 |
$544.65 |
| 36415 |
Collection of venous blood by venipuncture |
435 |
388 |
$522.08 |
| 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 |
56 |
51 |
$442.07 |
| 90670 |
|
675 |
666 |
$405.75 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14 |
14 |
$332.61 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
14 |
14 |
$285.96 |
| 90723 |
|
463 |
456 |
$255.75 |
| 90686 |
|
474 |
467 |
$245.75 |
| 90647 |
|
444 |
438 |
$245.75 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
13 |
$156.60 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$150.00 |
| 90785 |
|
17 |
16 |
$115.97 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$106.08 |
| 90461 |
|
1,596 |
1,351 |
$93.75 |
| 90680 |
|
218 |
215 |
$90.00 |
| 90710 |
|
121 |
119 |
$50.00 |
| 90681 |
|
15 |
14 |
$20.00 |
| 90734 |
|
13 |
12 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |