| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54,228 |
48,012 |
$5.99M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,101 |
32,937 |
$2.84M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,165 |
8,260 |
$573K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,007 |
6,499 |
$444K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,592 |
10,901 |
$198K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,201 |
1,963 |
$132K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,671 |
966 |
$132K |
| 87428 |
|
2,660 |
2,424 |
$119K |
| 90686 |
|
5,745 |
5,388 |
$95K |
| 90670 |
|
4,801 |
4,533 |
$78K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
532 |
347 |
$67K |
| 99223 |
Prolong inpt eval add15 m |
416 |
373 |
$64K |
| 90697 |
|
2,609 |
2,505 |
$53K |
| 90671 |
|
1,988 |
1,910 |
$47K |
| 90461 |
|
508 |
496 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
718 |
626 |
$41K |
| 90681 |
|
2,166 |
2,054 |
$38K |
| 90698 |
|
2,350 |
2,216 |
$35K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,509 |
1,293 |
$34K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
576 |
519 |
$31K |
| 90633 |
|
1,768 |
1,682 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,075 |
1,009 |
$29K |
| 99233 |
Prolong inpt eval add15 m |
331 |
149 |
$25K |
| 99173 |
|
5,867 |
5,247 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
121 |
92 |
$18K |
| 90744 |
|
1,167 |
1,089 |
$17K |
| 92551 |
|
3,731 |
3,364 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
643 |
520 |
$15K |
| 99215 |
Prolong outpt/office vis |
69 |
58 |
$12K |
| 90656 |
|
619 |
616 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
381 |
335 |
$10K |
| 81002 |
|
5,330 |
4,032 |
$10K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
112 |
84 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
58 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
68 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
201 |
142 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
404 |
184 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
296 |
270 |
$4K |
| 90734 |
|
83 |
83 |
$3K |
| 90677 |
|
132 |
131 |
$3K |
| 90707 |
|
141 |
133 |
$2K |
| 90716 |
|
130 |
122 |
$2K |
| 90700 |
|
133 |
127 |
$2K |
| 96161 |
|
1,104 |
1,023 |
$2K |
| 90651 |
|
97 |
94 |
$2K |
| 90648 |
|
123 |
117 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
85 |
67 |
$2K |
| 96127 |
|
516 |
500 |
$2K |
| 99383 |
|
26 |
24 |
$1K |
| 90381 |
|
55 |
55 |
$1K |
| 99382 |
|
16 |
13 |
$720.00 |
| 90696 |
|
38 |
36 |
$672.86 |
| 81025 |
|
257 |
213 |
$553.40 |
| 36416 |
|
264 |
232 |
$552.50 |
| 90688 |
|
33 |
26 |
$514.54 |
| 90710 |
|
24 |
24 |
$455.17 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
14 |
$345.67 |
| D0145 |
Oral evaluation for a patient under three years of age |
28 |
26 |
$316.80 |
| D1206 |
Topical application of fluoride varnish |
28 |
26 |
$228.00 |
| 99490 |
Ccm add 20min |
147 |
140 |
$192.58 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
21 |
17 |
$182.07 |
| 96160 |
|
49 |
42 |
$94.28 |
| 3008F |
|
13,374 |
12,312 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15,236 |
13,723 |
$0.00 |
| 3074F |
|
17,494 |
15,904 |
$0.00 |
| 3079F |
|
4,385 |
4,009 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
5,133 |
4,501 |
$0.00 |
| 1036F |
|
6,142 |
5,140 |
$0.00 |
| 3080F |
|
461 |
424 |
$0.00 |
| 3075F |
|
1,007 |
931 |
$0.00 |
| 1034F |
|
692 |
599 |
$0.00 |
| 96380 |
|
16 |
16 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
18 |
15 |
$0.00 |
| 3078F |
|
15,450 |
14,095 |
$0.00 |
| 3077F |
|
1,453 |
1,338 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
233 |
202 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,021 |
1,351 |
$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) |
93 |
91 |
$0.00 |
| 99072 |
|
61 |
58 |
$0.00 |