| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,302 |
42,041 |
$2.08M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,354 |
14,222 |
$638K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24,853 |
12,069 |
$213K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,382 |
2,349 |
$158K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,466 |
2,333 |
$115K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,994 |
3,080 |
$112K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,621 |
2,334 |
$105K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
8,262 |
5,012 |
$81K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,371 |
1,301 |
$64K |
| 92587 |
|
5,791 |
4,895 |
$53K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,176 |
5,283 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,028 |
947 |
$44K |
| 90461 |
|
11,752 |
2,350 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,799 |
3,370 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,404 |
1,767 |
$30K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,451 |
2,345 |
$28K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,913 |
656 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
300 |
292 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
706 |
646 |
$21K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
560 |
517 |
$19K |
| 90686 |
|
3,112 |
2,509 |
$15K |
| 90671 |
|
131 |
115 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
230 |
213 |
$10K |
| 3008F |
|
34,741 |
30,641 |
$9K |
| 90670 |
|
613 |
460 |
$8K |
| 96127 |
|
3,525 |
3,005 |
$8K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
836 |
707 |
$8K |
| 99306 |
Prolong nursin fac eval 15m |
226 |
217 |
$7K |
| 90710 |
|
195 |
158 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
603 |
578 |
$7K |
| 90734 |
|
191 |
179 |
$6K |
| 87428 |
|
147 |
142 |
$6K |
| 97802 |
|
920 |
691 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
3,258 |
2,919 |
$5K |
| 99051 |
|
3,739 |
3,309 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
307 |
248 |
$4K |
| 90651 |
|
52 |
47 |
$3K |
| 72082 |
|
85 |
76 |
$3K |
| 94010 |
|
398 |
324 |
$3K |
| 99401 |
|
176 |
138 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
300 |
114 |
$3K |
| 94726 |
|
188 |
151 |
$3K |
| 94729 |
|
166 |
131 |
$3K |
| 99177 |
|
867 |
772 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
132 |
112 |
$2K |
| 99349 |
|
357 |
199 |
$2K |
| 99173 |
|
4,066 |
3,717 |
$2K |
| 90674 |
|
126 |
116 |
$2K |
| 90661 |
|
378 |
376 |
$2K |
| 90633 |
|
382 |
307 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
12 |
12 |
$2K |
| 73610 |
|
72 |
55 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
127 |
39 |
$1K |
| 92551 |
|
254 |
207 |
$1K |
| 90698 |
|
297 |
204 |
$1K |
| 0071A |
|
40 |
31 |
$1K |
| 90723 |
|
218 |
202 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
140 |
81 |
$1K |
| 90715 |
|
100 |
88 |
$975.23 |
| 0072A |
|
43 |
26 |
$960.00 |
| 90688 |
|
78 |
77 |
$848.28 |
| 36416 |
|
113 |
109 |
$815.40 |
| 73630 |
|
42 |
29 |
$797.04 |
| 0002A |
|
16 |
16 |
$640.00 |
| 90656 |
|
55 |
51 |
$608.82 |
| 90648 |
|
418 |
367 |
$581.74 |
| 0003A |
|
13 |
13 |
$520.00 |
| 92558 |
|
184 |
137 |
$424.45 |
| 99310 |
Prolong nursin fac eval 15m |
18 |
18 |
$352.49 |
| 99305 |
|
87 |
56 |
$337.48 |
| 73100 |
|
15 |
12 |
$307.41 |
| 90662 |
|
143 |
117 |
$281.80 |
| 99215 |
Prolong outpt/office vis |
42 |
42 |
$278.52 |
| 96161 |
|
156 |
114 |
$197.32 |
| 81002 |
|
1,248 |
1,205 |
$181.45 |
| 87807 |
|
52 |
50 |
$166.60 |
| 93000 |
|
25 |
24 |
$137.60 |
| 99000 |
|
1,816 |
1,632 |
$125.85 |
| 90696 |
|
19 |
17 |
$101.40 |
| 90700 |
|
17 |
13 |
$48.10 |
| G0008 |
Administration of influenza virus vaccine |
222 |
173 |
$29.58 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
12 |
$9.32 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
129 |
127 |
$7.45 |
| 1159F |
|
21,403 |
18,682 |
$6.19 |
| 1036F |
|
19,009 |
14,897 |
$0.00 |
| 3079F |
|
3,029 |
2,748 |
$0.00 |
| 3044F |
|
1,497 |
1,177 |
$0.00 |
| 3074F |
|
14,382 |
12,985 |
$0.00 |
| 3075F |
|
785 |
738 |
$0.00 |
| 1123F |
|
21 |
13 |
$0.00 |
| 1034F |
|
642 |
576 |
$0.00 |
| 1125F |
|
1,315 |
921 |
$0.00 |
| 1126F |
|
1,852 |
1,519 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
132 |
119 |
$0.00 |
| 00000 |
|
28 |
26 |
$0.00 |
| 90744 |
|
19 |
13 |
$0.00 |
| 3080F |
|
136 |
125 |
$0.00 |
| 90680 |
|
61 |
38 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
22 |
13 |
$0.00 |
| 1101F |
|
25 |
25 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
15 |
13 |
$0.00 |
| 3078F |
|
10,755 |
9,751 |
$0.00 |
| 1160F |
|
21,370 |
18,652 |
$0.00 |
| 3725F |
|
1,640 |
1,407 |
$0.00 |
| 3077F |
|
421 |
390 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
48 |
47 |
$0.00 |
| 80061 |
Lipid panel |
15 |
13 |
$0.00 |
| 99072 |
|
103 |
96 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
22 |
13 |
$0.00 |