| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
87,345 |
63,018 |
$458K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,917 |
5,479 |
$428K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,405 |
5,731 |
$361K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,395 |
1,541 |
$43K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,287 |
930 |
$39K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,574 |
925 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,708 |
1,100 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
176 |
142 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,307 |
933 |
$14K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,014 |
448 |
$13K |
| 99305 |
|
406 |
228 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
99 |
74 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
120 |
74 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
116 |
56 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,005 |
667 |
$5K |
| 99307 |
|
634 |
326 |
$5K |
| 99490 |
Ccm add 20min |
747 |
361 |
$4K |
| 92552 |
|
887 |
560 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
161 |
98 |
$3K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
75 |
12 |
$2K |
| 96127 |
|
852 |
532 |
$2K |
| 87807 |
|
150 |
122 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
23 |
13 |
$1K |
| 96116 |
|
103 |
62 |
$1K |
| 96160 |
|
640 |
460 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
12 |
$1K |
| 99454 |
|
32 |
24 |
$915.50 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
39 |
25 |
$861.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
15 |
$669.65 |
| 81002 |
|
480 |
322 |
$652.27 |
| 99306 |
Prolong nursin fac eval 15m |
33 |
14 |
$637.58 |
| 99497 |
|
277 |
129 |
$441.99 |
| 99402 |
|
28 |
12 |
$428.56 |
| 90686 |
|
163 |
120 |
$398.23 |
| 99173 |
|
1,204 |
743 |
$357.80 |
| 99304 |
|
31 |
14 |
$188.13 |
| 99406 |
|
40 |
20 |
$128.37 |
| 82043 |
|
68 |
39 |
$108.85 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
206 |
97 |
$98.62 |
| 90688 |
|
470 |
251 |
$65.40 |
| 99408 |
|
33 |
16 |
$50.00 |
| 90715 |
|
21 |
12 |
$43.42 |
| 90656 |
|
79 |
70 |
$20.53 |
| 3078F |
|
6,484 |
3,988 |
$0.01 |
| 3077F |
|
1,223 |
746 |
$0.00 |
| 2014F |
|
63 |
38 |
$0.00 |
| 2028F |
|
97 |
56 |
$0.00 |
| 3288F |
|
179 |
85 |
$0.00 |
| 90756 |
|
31 |
21 |
$0.00 |
| 98960 |
|
28 |
15 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
24 |
12 |
$0.00 |
| 3079F |
|
1,926 |
1,284 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
553 |
313 |
$0.00 |
| 3044F |
|
529 |
335 |
$0.00 |
| 1034F |
|
656 |
353 |
$0.00 |
| 3080F |
|
597 |
392 |
$0.00 |
| 3074F |
|
6,072 |
3,824 |
$0.00 |
| 3075F |
|
1,474 |
952 |
$0.00 |
| 3008F |
|
5,648 |
3,458 |
$0.00 |
| 1111F |
|
59 |
40 |
$0.00 |
| 1036F |
|
1,949 |
1,159 |
$0.00 |
| 3351F |
|
170 |
118 |
$0.00 |
| 3048F |
|
526 |
335 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
30 |
21 |
$0.00 |
| 3049F |
|
51 |
38 |
$0.00 |
| 1170F |
|
48 |
25 |
$0.00 |
| 92551 |
|
32 |
23 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
35 |
14 |
$0.00 |