| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,687 |
13,392 |
$784K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,849 |
17,075 |
$738K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
6,467 |
4,906 |
$159K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,912 |
1,815 |
$142K |
| X5622 |
|
4,919 |
4,381 |
$140K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,930 |
3,772 |
$107K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
5,087 |
4,903 |
$105K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,602 |
1,529 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,150 |
1,087 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,215 |
1,146 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
768 |
715 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
523 |
501 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,546 |
2,431 |
$32K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,239 |
1,196 |
$27K |
| 36415 |
Collection of venous blood by venipuncture |
13,336 |
11,748 |
$26K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,056 |
1,968 |
$25K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
706 |
678 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
291 |
286 |
$22K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,493 |
3,274 |
$21K |
| 99188 |
|
2,450 |
2,364 |
$19K |
| 87660 |
|
1,252 |
1,182 |
$19K |
| 87480 |
|
1,253 |
1,181 |
$19K |
| 87510 |
|
1,251 |
1,181 |
$19K |
| 92551 |
|
2,958 |
2,878 |
$15K |
| 80061 |
Lipid panel |
1,439 |
1,403 |
$14K |
| 90686 |
|
2,838 |
2,770 |
$14K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,107 |
1,950 |
$12K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
819 |
434 |
$12K |
| 96127 |
|
3,392 |
3,267 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,538 |
1,480 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,114 |
1,798 |
$10K |
| 90651 |
|
338 |
329 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
91 |
88 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
612 |
548 |
$9K |
| 80053 |
Comprehensive metabolic panel |
907 |
868 |
$8K |
| 99215 |
Prolong outpt/office vis |
85 |
82 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
273 |
252 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
60 |
60 |
$6K |
| 84466 |
|
453 |
441 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
106 |
64 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
88 |
85 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
138 |
136 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
50 |
49 |
$5K |
| 90715 |
|
405 |
384 |
$5K |
| 81001 |
|
1,862 |
1,719 |
$5K |
| 80050 |
General health panel |
84 |
82 |
$4K |
| 83540 |
|
791 |
758 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
468 |
406 |
$4K |
| 81025 |
|
624 |
570 |
$4K |
| 90670 |
|
970 |
932 |
$3K |
| 99173 |
|
2,880 |
2,784 |
$3K |
| 85027 |
|
1,023 |
972 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
270 |
257 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
29 |
28 |
$3K |
| 36416 |
|
574 |
537 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
320 |
314 |
$2K |
| 85018 |
|
901 |
873 |
$2K |
| 98940 |
|
393 |
224 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$1K |
| 99383 |
|
14 |
14 |
$1K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
31 |
24 |
$1K |
| 90461 |
|
821 |
747 |
$1K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
232 |
232 |
$1K |
| 82565 |
|
385 |
367 |
$1K |
| 99381 |
|
12 |
12 |
$877.10 |
| 93000 |
|
132 |
123 |
$815.08 |
| 90734 |
|
149 |
142 |
$742.43 |
| 98968 |
|
20 |
17 |
$635.68 |
| 82947 |
|
172 |
162 |
$555.63 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$510.60 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$510.60 |
| 96161 |
|
433 |
411 |
$476.60 |
| 83735 |
|
94 |
85 |
$431.77 |
| 88142 |
|
74 |
71 |
$389.31 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
296 |
142 |
$361.90 |
| 84702 |
|
21 |
13 |
$358.26 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
298 |
277 |
$285.28 |
| 86140 |
|
81 |
71 |
$282.50 |
| G0008 |
Administration of influenza virus vaccine |
174 |
171 |
$273.70 |
| 90716 |
|
54 |
52 |
$256.35 |
| 84460 |
|
57 |
54 |
$232.80 |
| 90662 |
|
30 |
29 |
$224.70 |
| 85651 |
|
40 |
39 |
$174.09 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
48 |
44 |
$155.22 |
| 87081 |
|
279 |
267 |
$154.56 |
| 84439 |
|
40 |
38 |
$122.64 |
| 81003 |
|
100 |
87 |
$120.22 |
| 99443 |
|
12 |
12 |
$96.48 |
| 82043 |
|
39 |
38 |
$95.38 |
| 82570 |
|
39 |
38 |
$85.22 |
| 99441 |
|
32 |
30 |
$79.02 |
| 85652 |
|
52 |
49 |
$42.84 |
| 99442 |
|
30 |
30 |
$24.89 |
| 84132 |
|
25 |
24 |
$7.04 |
| 90723 |
|
529 |
512 |
$0.00 |
| 90647 |
|
502 |
487 |
$0.00 |
| 90680 |
|
327 |
313 |
$0.00 |
| 86780 |
|
61 |
60 |
$0.00 |
| 90696 |
|
35 |
27 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
25 |
24 |
$0.00 |
| 83690 |
|
16 |
13 |
$0.00 |
| 82950 |
|
15 |
15 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
17 |
12 |
$0.00 |
| 90700 |
|
24 |
24 |
$0.00 |
| 90633 |
|
403 |
390 |
$0.00 |
| 80076 |
|
12 |
12 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
24 |
24 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |