| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,188 |
10,108 |
$509K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,714 |
3,940 |
$240K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,467 |
2,194 |
$198K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,117 |
1,839 |
$172K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,398 |
1,299 |
$102K |
| H1000 |
Prenatal care, at-risk assessment |
2,239 |
1,066 |
$76K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,595 |
6,598 |
$67K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
732 |
638 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
660 |
610 |
$49K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
517 |
448 |
$35K |
| 99385 |
|
477 |
384 |
$27K |
| 99383 |
|
339 |
306 |
$26K |
| 97802 |
|
1,558 |
1,407 |
$23K |
| 99384 |
|
209 |
207 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
327 |
316 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
310 |
281 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
236 |
201 |
$16K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
333 |
215 |
$16K |
| 99382 |
|
55 |
55 |
$7K |
| 81025 |
|
3,217 |
2,432 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
54 |
$5K |
| 81002 |
|
7,320 |
5,414 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,023 |
774 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
70 |
67 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
563 |
556 |
$3K |
| 0001A |
|
111 |
108 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
306 |
304 |
$3K |
| 99443 |
|
156 |
125 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
69 |
54 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
106 |
101 |
$3K |
| 99215 |
Prolong outpt/office vis |
52 |
48 |
$2K |
| 99381 |
|
25 |
25 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
28 |
28 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
28 |
28 |
$2K |
| 0002A |
|
53 |
53 |
$2K |
| 85018 |
|
2,800 |
2,333 |
$2K |
| 93000 |
|
405 |
327 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
915 |
709 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
49 |
24 |
$1K |
| 99386 |
|
13 |
13 |
$1K |
| 82948 |
|
812 |
688 |
$1K |
| 90461 |
|
2,760 |
2,282 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
18 |
12 |
$680.92 |
| 99201 |
|
14 |
13 |
$659.53 |
| 90686 |
|
1,453 |
1,175 |
$529.54 |
| 36415 |
Collection of venous blood by venipuncture |
575 |
451 |
$493.94 |
| 91300 |
|
199 |
184 |
$364.80 |
| 99188 |
|
30 |
30 |
$363.84 |
| 90633 |
|
717 |
604 |
$299.00 |
| 99441 |
|
32 |
30 |
$262.45 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
18 |
12 |
$235.75 |
| 96127 |
|
3,206 |
2,532 |
$227.01 |
| 90670 |
|
1,338 |
1,090 |
$195.00 |
| 99442 |
|
18 |
12 |
$143.29 |
| 90653 |
|
120 |
87 |
$121.68 |
| 90651 |
|
706 |
621 |
$83.00 |
| 90734 |
|
217 |
201 |
$57.00 |
| 90648 |
|
324 |
313 |
$50.00 |
| 3078F |
|
4,673 |
3,031 |
$43.84 |
| 90688 |
|
41 |
40 |
$27.00 |
| 99173 |
|
1,568 |
1,358 |
$24.01 |
| 90723 |
|
166 |
161 |
$22.00 |
| 90710 |
|
115 |
97 |
$18.00 |
| 90620 |
|
62 |
60 |
$18.00 |
| 90696 |
|
85 |
76 |
$9.00 |
| 3080F |
|
696 |
588 |
$6.64 |
| 82962 |
|
158 |
145 |
$6.55 |
| 2010F |
|
19,540 |
15,031 |
$2.04 |
| 2001F |
|
16,813 |
13,305 |
$1.88 |
| 3008F |
|
14,805 |
11,604 |
$0.08 |
| 1160F |
|
3,252 |
2,403 |
$0.07 |
| 3074F |
|
5,725 |
3,845 |
$0.07 |
| 1159F |
|
3,407 |
2,543 |
$0.06 |
| 3079F |
|
1,376 |
1,046 |
$0.03 |
| 3511F |
|
694 |
563 |
$0.02 |
| 1126F |
|
2,049 |
1,575 |
$0.02 |
| 4035F |
|
1,145 |
872 |
$0.00 |
| 99177 |
|
2,355 |
1,906 |
$0.00 |
| 3077F |
|
537 |
443 |
$0.00 |
| 4551F |
|
188 |
153 |
$0.00 |
| 90707 |
|
31 |
14 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 3028F |
|
93 |
75 |
$0.00 |
| 90681 |
|
38 |
37 |
$0.00 |
| 3725F |
|
20 |
20 |
$0.00 |
| 90715 |
|
26 |
25 |
$0.00 |
| 1158F |
|
21 |
12 |
$0.00 |
| 92551 |
|
3,335 |
2,751 |
$0.00 |
| 2000F |
|
12,436 |
9,945 |
$0.00 |
| 99000 |
|
3,939 |
2,922 |
$0.00 |
| 1000F |
|
32 |
30 |
$0.00 |
| 36416 |
|
1,224 |
924 |
$0.00 |
| 90697 |
|
256 |
168 |
$0.00 |
| 1111F |
|
82 |
68 |
$0.00 |
| 3075F |
|
553 |
499 |
$0.00 |
| 99406 |
|
27 |
26 |
$0.00 |
| 90680 |
|
70 |
65 |
$0.00 |
| 90698 |
|
113 |
87 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
69 |
56 |
$0.00 |
| 4010F |
|
16 |
15 |
$0.00 |
| 90716 |
|
33 |
16 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
97 |
55 |
$0.00 |
| 90677 |
|
106 |
105 |
$0.00 |
| 1170F |
|
76 |
53 |
$0.00 |
| 90619 |
|
25 |
24 |
$0.00 |
| 94760 |
|
15 |
15 |
$0.00 |
| 1036F |
|
27 |
25 |
$0.00 |