| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,237 |
19,821 |
$1.09M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,343 |
11,667 |
$840K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,995 |
5,497 |
$373K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,839 |
5,029 |
$338K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,472 |
4,131 |
$293K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,121 |
1,948 |
$155K |
| 99381 |
|
766 |
680 |
$53K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,800 |
3,489 |
$46K |
| 90670 |
|
3,520 |
3,217 |
$45K |
| 90686 |
|
2,898 |
2,646 |
$40K |
| 92551 |
|
5,778 |
5,244 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,728 |
1,615 |
$36K |
| 90633 |
|
2,262 |
2,046 |
$31K |
| 90697 |
|
946 |
818 |
$28K |
| 90647 |
|
2,181 |
1,980 |
$26K |
| 90723 |
|
2,072 |
1,911 |
$25K |
| 90716 |
|
1,427 |
1,325 |
$21K |
| 90707 |
|
1,433 |
1,332 |
$20K |
| 90680 |
|
1,217 |
1,087 |
$15K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,977 |
1,827 |
$15K |
| 90651 |
|
1,028 |
949 |
$14K |
| 99174 |
|
2,861 |
2,639 |
$14K |
| 83655 |
|
1,236 |
1,161 |
$12K |
| 90677 |
|
500 |
418 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
860 |
794 |
$11K |
| 90681 |
|
697 |
635 |
$9K |
| 90696 |
|
605 |
545 |
$9K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
1,060 |
925 |
$9K |
| 90700 |
|
542 |
490 |
$8K |
| 96161 |
|
2,838 |
2,551 |
$8K |
| 99173 |
|
4,413 |
4,034 |
$6K |
| 90734 |
|
479 |
447 |
$6K |
| 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) |
1,018 |
887 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,804 |
1,608 |
$5K |
| 90710 |
|
322 |
283 |
$5K |
| 99051 |
|
598 |
558 |
$5K |
| 99499 |
|
426 |
303 |
$4K |
| G9920 |
Screening performed and negative |
817 |
707 |
$4K |
| 90619 |
|
241 |
219 |
$4K |
| 99215 |
Prolong outpt/office vis |
51 |
47 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
62 |
61 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
43 |
$3K |
| 90620 |
|
132 |
128 |
$2K |
| 90715 |
|
151 |
135 |
$2K |
| 99383 |
|
25 |
25 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
141 |
125 |
$2K |
| 90656 |
|
126 |
125 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
166 |
146 |
$1K |
| 99050 |
|
145 |
125 |
$1K |
| 96127 |
|
404 |
347 |
$1K |
| 90621 |
|
64 |
63 |
$979.08 |
| 94664 |
|
102 |
97 |
$965.90 |
| G9919 |
Screening performed and positive and provision of recommendations |
226 |
207 |
$816.24 |
| 99384 |
|
15 |
12 |
$687.07 |
| 85018 |
|
693 |
645 |
$649.66 |
| 0072A |
|
15 |
15 |
$560.00 |
| 0071A |
|
16 |
13 |
$520.00 |
| 69210 |
|
15 |
14 |
$513.10 |
| 0002A |
|
12 |
12 |
$400.00 |
| 96160 |
|
139 |
129 |
$354.77 |
| 92552 |
|
17 |
17 |
$343.40 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
205 |
172 |
$250.89 |
| 90685 |
|
155 |
148 |
$44.14 |
| 36416 |
|
1,271 |
1,195 |
$28.67 |
| 85014 |
|
17 |
12 |
$9.28 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
174 |
144 |
$4.41 |
| 91307 |
|
71 |
59 |
$0.18 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,887 |
10,807 |
$0.00 |
| 90461 |
|
7,047 |
6,382 |
$0.00 |
| 3725F |
|
2,564 |
2,331 |
$0.00 |
| 99072 |
|
103 |
100 |
$0.00 |
| 3078F |
|
410 |
382 |
$0.00 |
| 91300 |
|
32 |
29 |
$0.00 |
| 4124F |
|
14 |
14 |
$0.00 |
| 3008F |
|
8,096 |
7,565 |
$0.00 |
| 3074F |
|
439 |
410 |
$0.00 |
| 87807 |
|
15 |
15 |
$0.00 |