| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
122,288 |
79,580 |
$11.87M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20,631 |
20,382 |
$1.23M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27,559 |
26,281 |
$988K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,211 |
8,183 |
$859K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,596 |
5,579 |
$653K |
| 92552 |
|
16,071 |
16,025 |
$580K |
| 99401 |
|
19,417 |
19,240 |
$567K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,016 |
4,998 |
$523K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,365 |
4,265 |
$420K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,295 |
3,279 |
$394K |
| 96160 |
|
14,622 |
14,510 |
$345K |
| 99188 |
|
16,661 |
16,531 |
$307K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,559 |
10,707 |
$169K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,270 |
1,267 |
$151K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
6,240 |
6,202 |
$104K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
6,744 |
6,698 |
$91K |
| 90671 |
|
339 |
339 |
$77K |
| 90658 |
|
4,266 |
4,255 |
$74K |
| 94060 |
|
1,047 |
984 |
$62K |
| H0001 |
Alcohol and/or drug assessment |
6,018 |
5,984 |
$59K |
| 99407 |
|
4,531 |
4,498 |
$44K |
| 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) |
2,670 |
2,651 |
$44K |
| 86580 |
|
3,754 |
3,734 |
$40K |
| 90461 |
|
1,511 |
1,510 |
$37K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,365 |
1,335 |
$37K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
1,814 |
1,800 |
$36K |
| 99051 |
|
4,388 |
3,750 |
$34K |
| 0072A |
|
763 |
763 |
$31K |
| S9470 |
Nutritional counseling, dietitian visit |
2,556 |
2,528 |
$22K |
| 0002A |
|
405 |
403 |
$17K |
| 0001A |
|
423 |
404 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,536 |
4,443 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
354 |
346 |
$16K |
| 0071A |
|
370 |
370 |
$15K |
| 90657 |
|
1,085 |
1,083 |
$13K |
| 90661 |
|
820 |
820 |
$13K |
| 0003A |
|
255 |
255 |
$11K |
| 36410 |
|
10,224 |
10,137 |
$10K |
| 3074F |
|
4,206 |
2,950 |
$10K |
| 3078F |
|
4,192 |
2,944 |
$10K |
| 90677 |
|
32 |
32 |
$9K |
| 92551 |
|
578 |
571 |
$8K |
| 90686 |
|
6,934 |
6,927 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
254 |
254 |
$5K |
| 90747 |
|
28 |
28 |
$4K |
| 90670 |
|
1,694 |
1,691 |
$4K |
| 99177 |
|
973 |
952 |
$4K |
| 0081A |
|
79 |
79 |
$3K |
| 0082A |
|
71 |
71 |
$3K |
| 99384 |
|
16 |
16 |
$2K |
| 90660 |
|
82 |
82 |
$2K |
| S9451 |
Exercise classes, non-physician provider, per session |
490 |
489 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
42 |
42 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,757 |
1,588 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$1K |
| 90716 |
|
1,464 |
1,459 |
$1K |
| 90734 |
|
1,629 |
1,626 |
$1K |
| 99072 |
|
593 |
567 |
$1K |
| 90713 |
|
2,382 |
2,377 |
$1K |
| 91308 |
|
203 |
202 |
$920.45 |
| 0083A |
|
22 |
22 |
$880.00 |
| 90707 |
|
1,537 |
1,532 |
$752.94 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
478 |
458 |
$672.00 |
| 90656 |
|
66 |
64 |
$593.93 |
| 90620 |
|
1,156 |
1,155 |
$562.50 |
| 36406 |
|
493 |
488 |
$532.50 |
| 90715 |
|
816 |
815 |
$504.78 |
| 90744 |
|
2,686 |
2,679 |
$358.50 |
| 90672 |
|
647 |
646 |
$352.17 |
| 90651 |
|
2,139 |
2,130 |
$300.00 |
| 90633 |
|
1,303 |
1,301 |
$225.00 |
| 94664 |
|
563 |
539 |
$223.13 |
| 90700 |
|
3,025 |
3,019 |
$190.00 |
| 83014 |
|
25 |
25 |
$165.02 |
| 87634 |
|
42 |
42 |
$126.36 |
| 90648 |
|
2,120 |
2,118 |
$107.85 |
| 90621 |
|
28 |
28 |
$100.00 |
| 87275 |
|
211 |
211 |
$68.77 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
159 |
153 |
$29.22 |
| 36400 |
|
17 |
16 |
$28.58 |
| 91300 |
|
1,048 |
939 |
$23.54 |
| 91307 |
|
1,163 |
1,101 |
$1.15 |
| 3725F |
|
33 |
33 |
$0.00 |
| 3085F |
|
74 |
74 |
$0.00 |
| 2014F |
|
75 |
75 |
$0.00 |
| 3016F |
|
13 |
13 |
$0.00 |
| 90680 |
|
1,415 |
1,413 |
$0.00 |
| H0026 |
Alcohol and/or drug prevention process service, community-based (delivery of services to develop skills of impactors) |
228 |
228 |
$0.00 |
| 97802 |
|
72 |
69 |
$0.00 |
| 87807 |
|
42 |
42 |
$0.00 |
| 96127 |
|
27 |
27 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
228 |
228 |
$0.00 |
| H0024 |
Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude) |
56 |
56 |
$0.00 |
| 1000F |
|
12 |
12 |
$0.00 |