| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,650 |
24,119 |
$1.49M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,965 |
8,756 |
$682K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,270 |
6,855 |
$603K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,917 |
7,601 |
$563K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,893 |
5,765 |
$447K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,002 |
1,940 |
$165K |
| 90686 |
|
13,839 |
13,685 |
$163K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,319 |
3,052 |
$118K |
| 90670 |
|
5,110 |
4,968 |
$117K |
| 92551 |
|
10,276 |
10,015 |
$95K |
| 90671 |
|
1,003 |
968 |
$90K |
| 96127 |
|
12,028 |
11,662 |
$70K |
| 90680 |
|
4,050 |
3,933 |
$65K |
| 90648 |
|
5,556 |
5,402 |
$60K |
| 90723 |
|
3,776 |
3,679 |
$58K |
| 90651 |
|
867 |
854 |
$49K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,918 |
3,672 |
$47K |
| 87428 |
|
1,216 |
1,196 |
$37K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,285 |
4,176 |
$35K |
| 96161 |
|
17,869 |
17,441 |
$35K |
| 90633 |
|
2,092 |
2,055 |
$27K |
| 99177 |
|
5,706 |
5,592 |
$23K |
| 90837 |
Psychotherapy, 53 minutes with patient |
265 |
199 |
$22K |
| 0072A |
|
545 |
536 |
$21K |
| 0071A |
|
589 |
520 |
$21K |
| 99173 |
|
8,945 |
8,693 |
$21K |
| 90697 |
|
480 |
459 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
6,910 |
6,642 |
$18K |
| 90834 |
Psychotherapy, 45 minutes with patient |
216 |
141 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,710 |
6,968 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,119 |
557 |
$13K |
| 90734 |
|
289 |
288 |
$11K |
| 99381 |
|
149 |
133 |
$11K |
| 97802 |
|
111 |
109 |
$10K |
| 97804 |
|
482 |
277 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
413 |
385 |
$6K |
| 99000 |
|
1,847 |
1,750 |
$6K |
| 90710 |
|
112 |
107 |
$6K |
| 90716 |
|
242 |
236 |
$5K |
| 99215 |
Prolong outpt/office vis |
45 |
40 |
$5K |
| 0004A |
|
134 |
134 |
$5K |
| 87807 |
|
426 |
410 |
$5K |
| 97803 |
|
134 |
129 |
$4K |
| 90461 |
|
6,988 |
2,521 |
$4K |
| 90707 |
|
192 |
188 |
$3K |
| 90620 |
|
57 |
56 |
$3K |
| 90700 |
|
191 |
186 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,601 |
1,558 |
$2K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
91 |
91 |
$2K |
| 92558 |
|
290 |
283 |
$2K |
| 86580 |
|
301 |
292 |
$2K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
35 |
27 |
$2K |
| 90685 |
|
159 |
155 |
$2K |
| 0002A |
|
45 |
45 |
$2K |
| 0001A |
|
44 |
44 |
$2K |
| 99441 |
|
91 |
88 |
$2K |
| 90696 |
|
86 |
81 |
$2K |
| 0154A |
|
35 |
35 |
$1K |
| 96160 |
|
1,044 |
1,032 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
68 |
60 |
$942.60 |
| 90715 |
|
48 |
48 |
$843.65 |
| 0173A |
|
23 |
22 |
$840.00 |
| 0082A |
|
18 |
18 |
$721.60 |
| 0054A |
|
15 |
15 |
$592.08 |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$506.97 |
| 99442 |
|
12 |
12 |
$439.89 |
| H0049 |
Alcohol and/or drug screening |
439 |
421 |
$359.45 |
| 90480 |
|
14 |
13 |
$234.77 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
12 |
12 |
$198.84 |
| 81003 |
|
97 |
89 |
$187.14 |
| 88720 |
|
47 |
36 |
$172.07 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
37 |
37 |
$41.99 |
| 90785 |
|
14 |
12 |
$8.10 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
43 |
41 |
$4.46 |
| G9920 |
Screening performed and negative |
131 |
130 |
$0.00 |
| 87081 |
|
27 |
27 |
$0.00 |