| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,975 |
36,627 |
$2.52M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,094 |
19,688 |
$1.93M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32,449 |
30,700 |
$1.50M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13,247 |
12,439 |
$1.11M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,315 |
10,863 |
$1.02M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,414 |
5,071 |
$473K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
28,768 |
27,397 |
$469K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
6,527 |
6,251 |
$306K |
| D0145 |
Oral evaluation for a patient under three years of age |
8,549 |
8,253 |
$263K |
| 94760 |
|
97,414 |
89,795 |
$223K |
| G9012 |
Other specified case management service not elsewhere classified |
3,055 |
2,518 |
$161K |
| 92551 |
|
14,079 |
13,040 |
$145K |
| D0190 |
|
8,784 |
8,347 |
$137K |
| 99177 |
|
9,100 |
8,763 |
$108K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,295 |
3,007 |
$106K |
| 99215 |
Prolong outpt/office vis |
889 |
831 |
$102K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,009 |
974 |
$89K |
| 99173 |
|
11,410 |
10,596 |
$83K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
833 |
770 |
$76K |
| 96127 |
|
3,782 |
3,315 |
$62K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,855 |
5,424 |
$61K |
| 90837 |
Psychotherapy, 53 minutes with patient |
702 |
374 |
$56K |
| T1017 |
Targeted case management, each 15 minutes |
2,825 |
2,139 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,023 |
990 |
$42K |
| 99174 |
|
2,678 |
2,556 |
$42K |
| 90791 |
Psychiatric diagnostic evaluation |
222 |
213 |
$33K |
| H0031 |
Mental health assessment, by non-physician |
354 |
283 |
$29K |
| 0071A |
|
639 |
344 |
$22K |
| 99381 |
|
224 |
223 |
$21K |
| 90670 |
|
3,717 |
3,645 |
$21K |
| 0072A |
|
503 |
311 |
$20K |
| D1206 |
Topical application of fluoride varnish |
989 |
970 |
$16K |
| 90480 |
|
447 |
318 |
$13K |
| 83655 |
|
886 |
857 |
$11K |
| 90461 |
|
16,839 |
16,089 |
$11K |
| 88720 |
|
2,249 |
1,659 |
$10K |
| 90698 |
|
2,627 |
2,543 |
$9K |
| 87634 |
|
126 |
120 |
$9K |
| 94761 |
|
1,831 |
1,485 |
$8K |
| 36416 |
|
6,290 |
5,885 |
$8K |
| 90671 |
|
819 |
803 |
$7K |
| 90686 |
|
6,304 |
5,893 |
$7K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
247 |
183 |
$6K |
| 0002A |
|
146 |
107 |
$5K |
| 90651 |
|
164 |
157 |
$5K |
| 90680 |
|
1,830 |
1,771 |
$5K |
| 90716 |
|
664 |
643 |
$4K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
116 |
100 |
$4K |
| 0001A |
|
102 |
82 |
$4K |
| 99000 |
|
4,240 |
3,855 |
$4K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
121 |
70 |
$4K |
| 85018 |
|
1,329 |
1,285 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
26 |
$2K |
| 90707 |
|
674 |
653 |
$2K |
| 0081A |
|
53 |
35 |
$2K |
| 90633 |
|
895 |
870 |
$2K |
| 90700 |
|
767 |
731 |
$1K |
| 99383 |
|
15 |
12 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
22 |
13 |
$1K |
| 0082A |
|
17 |
17 |
$1K |
| 0124A |
|
17 |
16 |
$926.55 |
| 90656 |
|
860 |
851 |
$918.56 |
| 90619 |
|
102 |
94 |
$910.46 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
29 |
27 |
$860.86 |
| 96380 |
|
41 |
41 |
$846.80 |
| 90744 |
|
1,123 |
1,077 |
$833.02 |
| 90734 |
|
44 |
40 |
$807.85 |
| 0154A |
|
12 |
12 |
$701.24 |
| 99460 |
|
13 |
13 |
$700.36 |
| 91319 |
|
133 |
86 |
$588.35 |
| 0054A |
|
15 |
15 |
$577.70 |
| 36415 |
Collection of venous blood by venipuncture |
103 |
96 |
$304.68 |
| 90688 |
|
432 |
405 |
$290.31 |
| 91318 |
|
81 |
39 |
$218.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
23 |
17 |
$189.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$184.68 |
| 81003 |
|
87 |
82 |
$178.09 |
| 87807 |
|
15 |
14 |
$141.31 |
| 90715 |
|
81 |
73 |
$111.26 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
15 |
13 |
$45.87 |
| 90713 |
|
76 |
72 |
$44.11 |
| 81002 |
|
14 |
13 |
$36.83 |
| 90648 |
|
84 |
82 |
$21.01 |
| 90677 |
|
132 |
107 |
$0.00 |
| 91307 |
|
1,223 |
730 |
$0.00 |
| 91305 |
|
34 |
34 |
$0.00 |
| 91315 |
|
12 |
12 |
$0.00 |
| 90381 |
|
14 |
14 |
$0.00 |
| 91308 |
|
144 |
121 |
$0.00 |
| 91300 |
|
320 |
225 |
$0.00 |
| 91320 |
|
62 |
44 |
$0.00 |
| 90649 |
|
19 |
19 |
$0.00 |
| 90380 |
|
15 |
15 |
$0.00 |
| 90658 |
|
37 |
37 |
$0.00 |
| 91312 |
|
17 |
16 |
$0.00 |