| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,772 |
16,764 |
$708K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,763 |
7,382 |
$417K |
| 87428 |
|
5,913 |
5,360 |
$276K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,333 |
3,209 |
$272K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19,989 |
8,959 |
$230K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,297 |
2,214 |
$201K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,777 |
1,733 |
$172K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,349 |
11,243 |
$170K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,004 |
1,895 |
$156K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,731 |
2,658 |
$123K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,684 |
824 |
$24K |
| 92552 |
|
1,124 |
1,112 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,764 |
2,655 |
$23K |
| 90461 |
|
1,721 |
1,480 |
$12K |
| 87807 |
|
726 |
674 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
369 |
349 |
$5K |
| 96160 |
|
2,258 |
2,200 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
56 |
$4K |
| 92551 |
|
295 |
275 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,176 |
2,120 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
220 |
193 |
$3K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
45 |
44 |
$367.75 |
| 90619 |
|
335 |
331 |
$152.24 |
| 90661 |
|
324 |
324 |
$58.01 |
| 81002 |
|
15 |
15 |
$47.59 |
| 90674 |
|
120 |
120 |
$34.63 |
| 87430 |
|
56 |
55 |
$28.24 |
| 90677 |
|
46 |
46 |
$0.28 |
| 90686 |
|
2,820 |
2,733 |
$0.25 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,017 |
4,968 |
$0.18 |
| 90671 |
|
485 |
406 |
$0.15 |
| 90651 |
|
609 |
583 |
$0.09 |
| 90620 |
|
238 |
224 |
$0.07 |
| 90672 |
|
362 |
352 |
$0.05 |
| 90621 |
|
109 |
109 |
$0.03 |
| 90697 |
|
458 |
411 |
$0.02 |
| 90723 |
|
100 |
98 |
$0.00 |
| 90680 |
|
288 |
282 |
$0.00 |
| 90716 |
|
39 |
38 |
$0.00 |
| A4620 |
Variable concentration mask |
189 |
166 |
$0.00 |
| 90696 |
|
85 |
85 |
$0.00 |
| A4616 |
Tubing (oxygen), per foot |
189 |
166 |
$0.00 |
| 90670 |
|
1,009 |
999 |
$0.00 |
| 90648 |
|
399 |
394 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
211 |
207 |
$0.00 |
| 90633 |
|
429 |
409 |
$0.00 |
| 90710 |
|
85 |
85 |
$0.00 |
| 90700 |
|
13 |
12 |
$0.00 |
| 90715 |
|
92 |
92 |
$0.00 |
| A4617 |
Mouth piece |
189 |
166 |
$0.00 |
| 90681 |
|
82 |
65 |
$0.00 |
| 90734 |
|
123 |
109 |
$0.00 |
| 90707 |
|
25 |
24 |
$0.00 |