| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,383 |
7,663 |
$365K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,463 |
10,333 |
$293K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,070 |
3,609 |
$265K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,495 |
3,138 |
$239K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
699 |
670 |
$52K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,894 |
5,180 |
$51K |
| 97802 |
|
2,857 |
2,669 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
310 |
297 |
$17K |
| 99460 |
|
316 |
278 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,980 |
6,934 |
$15K |
| 99381 |
|
176 |
165 |
$13K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
516 |
441 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,985 |
1,717 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
702 |
695 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,319 |
1,199 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
87 |
78 |
$5K |
| 90474 |
|
836 |
724 |
$4K |
| 90670 |
|
2,277 |
2,128 |
$3K |
| 90697 |
|
436 |
326 |
$3K |
| 99382 |
|
29 |
29 |
$3K |
| H0049 |
Alcohol and/or drug screening |
254 |
214 |
$3K |
| 90461 |
|
3,976 |
3,357 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
265 |
249 |
$1K |
| 85018 |
|
2,506 |
2,353 |
$957.85 |
| 83655 |
|
471 |
446 |
$657.54 |
| 99462 |
|
44 |
39 |
$541.62 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
63 |
59 |
$423.57 |
| 87807 |
|
196 |
191 |
$418.26 |
| 90633 |
|
872 |
804 |
$359.12 |
| 90710 |
|
125 |
118 |
$286.43 |
| 90619 |
|
14 |
12 |
$257.25 |
| 90686 |
|
1,092 |
1,078 |
$194.82 |
| 90716 |
|
115 |
106 |
$128.22 |
| 90744 |
|
633 |
607 |
$108.00 |
| 90707 |
|
146 |
132 |
$84.24 |
| 90700 |
|
165 |
151 |
$53.26 |
| 90647 |
|
345 |
328 |
$42.53 |
| 90473 |
|
454 |
453 |
$29.00 |
| 90698 |
|
968 |
939 |
$27.00 |
| 90681 |
|
66 |
46 |
$20.00 |
| 81003 |
|
295 |
276 |
$16.16 |
| 36416 |
|
2,615 |
2,368 |
$10.00 |
| 90677 |
|
218 |
138 |
$10.00 |
| 90648 |
|
24 |
24 |
$9.00 |
| 99177 |
|
771 |
707 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
1,004 |
663 |
$0.00 |
| 90671 |
|
64 |
63 |
$0.00 |
| 99173 |
|
24 |
22 |
$0.00 |
| 90685 |
|
25 |
25 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
36 |
35 |
$0.00 |
| 90734 |
|
17 |
17 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
20 |
18 |
$0.00 |
| 90680 |
|
1,575 |
1,454 |
$0.00 |
| 94760 |
|
8,428 |
7,265 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,045 |
1,764 |
$0.00 |
| 90723 |
|
67 |
67 |
$0.00 |
| 99000 |
|
407 |
273 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
29 |
25 |
$0.00 |
| 90696 |
|
81 |
80 |
$0.00 |
| 1036F |
|
15 |
14 |
$0.00 |