| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,921 |
10,740 |
$761K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,099 |
4,261 |
$485K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,806 |
1,607 |
$177K |
| 99215 |
Prolong outpt/office vis |
1,075 |
897 |
$152K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,437 |
1,325 |
$136K |
| 92558 |
|
3,988 |
3,596 |
$108K |
| 90461 |
|
2,779 |
2,545 |
$104K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,959 |
4,412 |
$98K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,055 |
917 |
$95K |
| 99177 |
|
1,761 |
1,743 |
$64K |
| 99173 |
|
2,044 |
1,680 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
580 |
469 |
$48K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,192 |
782 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
479 |
402 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
726 |
691 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
712 |
574 |
$12K |
| 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) |
590 |
550 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
626 |
234 |
$8K |
| 81025 |
|
815 |
691 |
$6K |
| 99442 |
|
114 |
83 |
$6K |
| 0072A |
|
122 |
122 |
$5K |
| 96161 |
|
1,047 |
921 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
43 |
38 |
$4K |
| 0004A |
|
75 |
75 |
$4K |
| Q3014 |
Telehealth originating site facility fee |
159 |
142 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
243 |
239 |
$4K |
| 0074A |
|
84 |
72 |
$3K |
| 90480 |
|
139 |
137 |
$3K |
| 96127 |
|
579 |
475 |
$3K |
| 93000 |
|
348 |
273 |
$3K |
| 0071A |
|
50 |
50 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
24 |
$2K |
| 99201 |
|
68 |
56 |
$2K |
| 80061 |
Lipid panel |
137 |
111 |
$2K |
| 0081A |
|
38 |
37 |
$1K |
| 83655 |
|
120 |
115 |
$1K |
| 0082A |
|
33 |
32 |
$1K |
| 0154A |
|
53 |
26 |
$1K |
| 90473 |
|
61 |
41 |
$856.95 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
45 |
45 |
$701.36 |
| 0124A |
|
30 |
16 |
$643.20 |
| 11100 |
|
12 |
12 |
$638.35 |
| 99188 |
|
31 |
31 |
$561.60 |
| 80305 |
|
54 |
44 |
$547.30 |
| 0083A |
|
20 |
13 |
$526.63 |
| 85018 |
|
228 |
206 |
$488.19 |
| 87807 |
|
51 |
28 |
$355.13 |
| 36415 |
Collection of venous blood by venipuncture |
90 |
82 |
$247.80 |
| 90686 |
|
1,787 |
1,321 |
$166.84 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$131.52 |
| 90474 |
|
14 |
14 |
$104.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
21 |
17 |
$35.13 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
272 |
202 |
$30.34 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
39 |
31 |
$9.38 |
| 91307 |
|
298 |
269 |
$2.49 |
| 90670 |
|
536 |
474 |
$1.43 |
| 91308 |
|
187 |
146 |
$1.25 |
| 91300 |
|
87 |
87 |
$0.80 |
| 90680 |
|
299 |
287 |
$0.73 |
| 90671 |
|
181 |
174 |
$0.56 |
| 90633 |
|
120 |
119 |
$0.31 |
| 90672 |
|
233 |
157 |
$0.29 |
| 90698 |
|
77 |
76 |
$0.25 |
| 91315 |
|
53 |
26 |
$0.24 |
| 90651 |
|
92 |
77 |
$0.22 |
| 90723 |
|
104 |
100 |
$0.22 |
| 91312 |
|
30 |
16 |
$0.14 |
| 90734 |
|
13 |
13 |
$0.10 |
| 90648 |
|
36 |
36 |
$0.08 |
| 90707 |
|
12 |
12 |
$0.03 |
| 90696 |
|
15 |
15 |
$0.03 |
| 90710 |
|
16 |
16 |
$0.02 |
| 90619 |
|
34 |
26 |
$0.02 |
| 90656 |
|
389 |
388 |
$0.00 |
| 90660 |
|
49 |
49 |
$0.00 |
| 90697 |
|
26 |
26 |
$0.00 |
| 91319 |
|
25 |
25 |
$0.00 |
| 90677 |
|
89 |
89 |
$0.00 |