| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12,736 |
10,578 |
$1.45M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15,600 |
15,575 |
$1.31M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
10,564 |
10,562 |
$1.10M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14,035 |
13,713 |
$1.02M |
| 92551 |
|
32,921 |
32,805 |
$697K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,047 |
7,817 |
$554K |
| G9920 |
Screening performed and negative |
13,346 |
13,285 |
$385K |
| 99188 |
|
8,824 |
8,625 |
$231K |
| 90686 |
|
12,609 |
12,515 |
$218K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,842 |
46,910 |
$199K |
| 99173 |
|
29,259 |
29,162 |
$195K |
| 87428 |
|
3,254 |
3,216 |
$188K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,824 |
29,939 |
$154K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
5,009 |
5,006 |
$122K |
| 90670 |
|
5,928 |
5,753 |
$107K |
| 90698 |
|
5,183 |
5,049 |
$92K |
| 90680 |
|
4,357 |
4,237 |
$78K |
| 90633 |
|
3,777 |
3,639 |
$66K |
| 90744 |
|
3,641 |
3,546 |
$64K |
| 90707 |
|
3,479 |
3,362 |
$61K |
| 90716 |
|
3,462 |
3,346 |
$60K |
| 99381 |
|
668 |
659 |
$60K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,189 |
3,120 |
$51K |
| 90651 |
|
2,780 |
2,779 |
$48K |
| 99233 |
Prolong inpt eval add15 m |
594 |
438 |
$41K |
| Q3014 |
Telehealth originating site facility fee |
1,211 |
1,180 |
$40K |
| 83655 |
|
4,002 |
3,867 |
$39K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,395 |
1,731 |
$31K |
| 81003 |
|
18,470 |
18,125 |
$31K |
| 96127 |
|
3,857 |
3,823 |
$27K |
| 90734 |
|
1,480 |
1,479 |
$25K |
| 90621 |
|
1,422 |
1,420 |
$24K |
| 99460 |
|
300 |
298 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,156 |
3,118 |
$19K |
| 90700 |
|
1,043 |
1,017 |
$18K |
| 85018 |
|
10,362 |
10,076 |
$17K |
| 90696 |
|
969 |
958 |
$17K |
| 90677 |
|
922 |
907 |
$17K |
| 90480 |
|
365 |
364 |
$15K |
| 90648 |
|
794 |
757 |
$14K |
| 90619 |
|
793 |
793 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,330 |
2,172 |
$12K |
| 90715 |
|
620 |
618 |
$10K |
| 90656 |
|
566 |
565 |
$10K |
| 90688 |
|
487 |
487 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
249 |
245 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
129 |
127 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
221 |
210 |
$7K |
| 0154A |
|
144 |
144 |
$6K |
| 90685 |
|
285 |
275 |
$5K |
| 0124A |
|
118 |
118 |
$5K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
646 |
627 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,128 |
1,119 |
$3K |
| 90672 |
|
164 |
161 |
$3K |
| 99382 |
|
29 |
29 |
$3K |
| G9919 |
Screening performed and positive and provision of recommendations |
87 |
87 |
$3K |
| 99383 |
|
17 |
15 |
$2K |
| 0053A |
|
44 |
44 |
$2K |
| 0072A |
|
42 |
42 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
170 |
169 |
$2K |
| 91319 |
|
127 |
125 |
$1K |
| 0073A |
|
33 |
33 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,711 |
1,694 |
$1K |
| 0081A |
|
28 |
28 |
$1K |
| 0082A |
|
26 |
26 |
$1K |
| 90710 |
|
50 |
50 |
$882.00 |
| 91320 |
|
64 |
63 |
$822.20 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
381 |
331 |
$727.36 |
| 0071A |
|
16 |
16 |
$640.00 |
| 87807 |
|
75 |
74 |
$569.23 |
| 91318 |
|
13 |
13 |
$520.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
548 |
382 |
$496.84 |
| 69210 |
|
66 |
64 |
$380.85 |
| 80061 |
Lipid panel |
32 |
32 |
$376.64 |
| 90381 |
|
12 |
12 |
$216.00 |
| 36416 |
|
16 |
14 |
$16.54 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
220 |
208 |
$8.90 |