| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,515 |
17,223 |
$1.09M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,886 |
7,883 |
$722K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,845 |
7,621 |
$675K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,618 |
7,597 |
$538K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,716 |
4,714 |
$428K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17,498 |
17,415 |
$214K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,386 |
2,385 |
$212K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
11,486 |
11,464 |
$205K |
| 99381 |
|
1,138 |
1,138 |
$100K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,126 |
4,088 |
$81K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,870 |
1,826 |
$69K |
| 99383 |
|
429 |
429 |
$42K |
| 90474 |
|
4,565 |
4,559 |
$39K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,725 |
1,531 |
$27K |
| 96127 |
|
8,089 |
8,039 |
$26K |
| 99460 |
|
462 |
461 |
$25K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
551 |
543 |
$24K |
| 99382 |
|
214 |
214 |
$21K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
82 |
82 |
$9K |
| 90480 |
|
311 |
311 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
395 |
389 |
$5K |
| 83655 |
|
246 |
246 |
$4K |
| 99384 |
|
30 |
30 |
$3K |
| 96381 |
|
160 |
159 |
$3K |
| 90671 |
|
1,077 |
1,075 |
$2K |
| 99001 |
|
199 |
166 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
38 |
13 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$1K |
| 0071A |
|
33 |
33 |
$1K |
| 90677 |
|
1,502 |
1,502 |
$1K |
| 99462 |
|
48 |
37 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 0072A |
|
21 |
21 |
$794.85 |
| 81002 |
|
210 |
207 |
$559.11 |
| 0001A |
|
13 |
13 |
$492.05 |
| 85018 |
|
248 |
248 |
$478.02 |
| 90621 |
|
45 |
45 |
$422.52 |
| 92551 |
|
50 |
50 |
$349.02 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
44 |
41 |
$340.55 |
| 90651 |
|
1,483 |
1,482 |
$229.34 |
| 96161 |
|
118 |
118 |
$184.83 |
| 90734 |
|
526 |
525 |
$128.85 |
| 90686 |
|
4,115 |
4,112 |
$62.62 |
| 90715 |
|
875 |
874 |
$38.67 |
| 1160F |
|
20,801 |
19,238 |
$0.00 |
| 3725F |
|
2,052 |
2,040 |
$0.00 |
| 90670 |
|
3,531 |
3,529 |
$0.00 |
| 90633 |
|
3,203 |
3,200 |
$0.00 |
| 3078F |
|
10,387 |
10,224 |
$0.00 |
| 90707 |
|
1,681 |
1,679 |
$0.00 |
| 1159F |
|
20,893 |
19,324 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
489 |
489 |
$0.00 |
| 90710 |
|
1,142 |
1,142 |
$0.00 |
| 91320 |
|
68 |
67 |
$0.00 |
| 90380 |
|
44 |
43 |
$0.00 |
| G9002 |
Coordinated care fee, maintenance rate |
12 |
12 |
$0.00 |
| 90698 |
|
3,388 |
3,388 |
$0.00 |
| 1036F |
|
18,105 |
16,934 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
922 |
920 |
$0.00 |
| 90680 |
|
4,343 |
4,343 |
$0.00 |
| 90696 |
|
1,194 |
1,194 |
$0.00 |
| 90716 |
|
1,692 |
1,690 |
$0.00 |
| 90744 |
|
1,347 |
1,345 |
$0.00 |
| 90697 |
|
2,713 |
2,711 |
$0.00 |
| 91319 |
|
89 |
89 |
$0.00 |
| 90381 |
|
95 |
95 |
$0.00 |
| 3074F |
|
10,594 |
10,426 |
$0.00 |
| 3008F |
|
20,939 |
20,468 |
$0.00 |
| 90688 |
|
181 |
181 |
$0.00 |
| 90619 |
|
751 |
751 |
$0.00 |
| 90656 |
|
619 |
618 |
$0.00 |
| 91318 |
|
71 |
71 |
$0.00 |
| 3079F |
|
113 |
110 |
$0.00 |
| 91307 |
|
28 |
28 |
$0.00 |
| 90620 |
|
26 |
26 |
$0.00 |