| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
72,758 |
61,025 |
$3.22M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35,037 |
30,070 |
$1.83M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14,261 |
12,607 |
$1.09M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,270 |
10,594 |
$877K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16,253 |
15,491 |
$252K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24,943 |
10,250 |
$238K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25,384 |
23,402 |
$221K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19,962 |
16,927 |
$209K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,885 |
2,549 |
$200K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,752 |
1,569 |
$136K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,450 |
4,370 |
$118K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,695 |
3,297 |
$116K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
6,224 |
4,913 |
$114K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,467 |
2,089 |
$104K |
| 99460 |
|
835 |
786 |
$63K |
| 87807 |
|
6,655 |
5,629 |
$60K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
984 |
928 |
$55K |
| 90474 |
|
5,264 |
5,166 |
$49K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,303 |
1,003 |
$41K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
517 |
376 |
$37K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
439 |
398 |
$31K |
| 86710 |
|
3,420 |
1,366 |
$21K |
| 99307 |
|
2,969 |
2,789 |
$19K |
| 83655 |
|
1,640 |
1,518 |
$17K |
| 92551 |
|
1,795 |
1,596 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,291 |
4,545 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
10,956 |
9,440 |
$11K |
| 96161 |
|
4,357 |
4,080 |
$10K |
| 99173 |
|
4,302 |
3,909 |
$8K |
| 96127 |
|
4,309 |
2,476 |
$7K |
| 87400 |
|
1,051 |
459 |
$7K |
| 99051 |
|
402 |
384 |
$7K |
| 73564 |
|
385 |
348 |
$6K |
| 88720 |
|
1,501 |
949 |
$5K |
| 90677 |
|
776 |
769 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,664 |
1,472 |
$5K |
| 99215 |
Prolong outpt/office vis |
41 |
39 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
597 |
464 |
$4K |
| 70210 |
|
150 |
135 |
$3K |
| 99464 |
|
57 |
51 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
336 |
323 |
$2K |
| 96160 |
|
1,135 |
1,021 |
$2K |
| 87430 |
|
333 |
242 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
119 |
105 |
$2K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
70 |
57 |
$2K |
| 81002 |
|
1,227 |
1,031 |
$2K |
| 72110 |
|
55 |
51 |
$1K |
| 99490 |
Ccm add 20min |
349 |
294 |
$1K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 0071A |
|
45 |
45 |
$1K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
13 |
13 |
$1K |
| 0072A |
|
36 |
36 |
$1K |
| 90686 |
|
5,569 |
4,886 |
$1K |
| D0145 |
Oral evaluation for a patient under three years of age |
32 |
30 |
$972.17 |
| 73610 |
|
75 |
52 |
$932.73 |
| 0001A |
|
25 |
25 |
$792.38 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
376 |
363 |
$769.40 |
| 0002A |
|
24 |
23 |
$756.87 |
| 90785 |
|
221 |
164 |
$730.94 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
46 |
41 |
$687.43 |
| D1206 |
Topical application of fluoride varnish |
32 |
30 |
$669.55 |
| 80305 |
|
155 |
124 |
$638.33 |
| 90670 |
|
8,499 |
8,291 |
$570.00 |
| 87420 |
|
45 |
45 |
$487.69 |
| 73110 |
|
25 |
15 |
$476.50 |
| 90620 |
|
210 |
192 |
$367.04 |
| 20610 |
|
40 |
26 |
$298.31 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
25 |
$287.49 |
| 96380 |
|
41 |
41 |
$223.69 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$216.03 |
| 90473 |
|
15 |
15 |
$139.90 |
| 81003 |
|
112 |
94 |
$105.56 |
| 90707 |
|
854 |
777 |
$80.42 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
28 |
27 |
$70.43 |
| 85018 |
|
53 |
48 |
$54.66 |
| 3352F |
|
78 |
45 |
$31.58 |
| 90723 |
|
6,818 |
6,721 |
$0.01 |
| 1160F |
|
13,901 |
10,130 |
$0.00 |
| 90633 |
|
2,624 |
2,459 |
$0.00 |
| 1159F |
|
12,078 |
8,546 |
$0.00 |
| 3078F |
|
5,022 |
4,017 |
$0.00 |
| 90734 |
|
783 |
736 |
$0.00 |
| 3077F |
|
775 |
603 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
143 |
129 |
$0.00 |
| 90681 |
|
422 |
404 |
$0.00 |
| 90715 |
|
330 |
306 |
$0.00 |
| 3725F |
|
154 |
113 |
$0.00 |
| 90662 |
|
35 |
19 |
$0.00 |
| 90672 |
|
15 |
15 |
$0.00 |
| 90710 |
|
79 |
78 |
$0.00 |
| 90671 |
|
26 |
19 |
$0.00 |
| 90700 |
|
49 |
49 |
$0.00 |
| 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) |
14 |
12 |
$0.00 |
| 90685 |
|
44 |
43 |
$0.00 |
| 91300 |
|
31 |
30 |
$0.00 |
| 54160 |
|
49 |
40 |
$0.00 |
| 90380 |
|
19 |
19 |
$0.00 |
| 98960 |
|
20 |
14 |
$0.00 |
| 90716 |
|
945 |
861 |
$0.00 |
| 90680 |
|
4,728 |
4,679 |
$0.00 |
| 3008F |
|
13,672 |
11,712 |
$0.00 |
| 1036F |
|
6,389 |
5,145 |
$0.00 |
| 90647 |
|
5,218 |
5,121 |
$0.00 |
| 3074F |
|
4,866 |
3,880 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
290 |
235 |
$0.00 |
| 99024 |
|
451 |
313 |
$0.00 |
| 3079F |
|
967 |
743 |
$0.00 |
| 3044F |
|
114 |
95 |
$0.00 |
| 90651 |
|
1,005 |
939 |
$0.00 |
| 90656 |
|
79 |
78 |
$0.00 |
| 90698 |
|
76 |
75 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
27 |
25 |
$0.00 |
| 1126F |
|
143 |
123 |
$0.00 |
| 90381 |
|
24 |
24 |
$0.00 |
| 3351F |
|
129 |
109 |
$0.00 |
| 90696 |
|
189 |
145 |
$0.00 |
| 3080F |
|
93 |
67 |
$0.00 |
| 1125F |
|
145 |
133 |
$0.00 |
| 3075F |
|
445 |
348 |
$0.00 |
| 1034F |
|
125 |
107 |
$0.00 |
| 91307 |
|
50 |
47 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
84 |
81 |
$0.00 |