| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,215 |
3,949 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,790 |
14,646 |
$68K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
945 |
885 |
$55K |
| 99381 |
|
425 |
395 |
$29K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,781 |
3,664 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,437 |
4,328 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,511 |
3,475 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,211 |
16,153 |
$8K |
| 90670 |
|
4,078 |
3,859 |
$6K |
| 90698 |
|
3,340 |
3,194 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,251 |
1,236 |
$5K |
| 90744 |
|
2,596 |
2,456 |
$4K |
| 90680 |
|
1,495 |
1,411 |
$3K |
| 92081 |
|
1,231 |
1,225 |
$3K |
| 69210 |
|
1,242 |
1,103 |
$3K |
| 92551 |
|
1,268 |
1,245 |
$3K |
| 92552 |
|
4,623 |
4,579 |
$2K |
| 85014 |
|
2,431 |
2,303 |
$888.54 |
| 99188 |
|
2,934 |
2,839 |
$730.62 |
| 90716 |
|
1,876 |
1,846 |
$722.70 |
| 90700 |
|
336 |
331 |
$660.60 |
| 99483 |
Prolong outpt/office vis |
12 |
12 |
$651.39 |
| 85013 |
|
7,799 |
7,659 |
$544.89 |
| 90647 |
|
221 |
218 |
$497.70 |
| 83655 |
|
647 |
627 |
$486.96 |
| 90633 |
|
1,672 |
1,630 |
$459.00 |
| 81002 |
|
3,837 |
3,771 |
$451.98 |
| 90707 |
|
1,789 |
1,764 |
$439.20 |
| 90713 |
|
99 |
99 |
$332.10 |
| 90696 |
|
455 |
454 |
$224.10 |
| 90686 |
|
346 |
344 |
$212.92 |
| 90658 |
|
1,055 |
1,039 |
$198.00 |
| 90688 |
|
396 |
392 |
$130.06 |
| 90715 |
|
184 |
182 |
$129.76 |
| 90657 |
|
104 |
99 |
$117.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
309 |
307 |
$86.38 |
| 90649 |
|
299 |
298 |
$81.00 |
| 82962 |
|
701 |
652 |
$59.04 |
| 86580 |
|
108 |
107 |
$49.95 |
| 99215 |
Prolong outpt/office vis |
342 |
338 |
$48.91 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
125 |
112 |
$42.90 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
51 |
$40.75 |
| 90619 |
|
41 |
41 |
$36.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
186 |
140 |
$30.67 |
| 90734 |
|
123 |
122 |
$18.00 |
| 87807 |
|
122 |
112 |
$17.14 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
34 |
34 |
$7.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
705 |
696 |
$4.46 |
| 90682 |
|
251 |
248 |
$1.82 |
| 85018 |
|
15 |
15 |
$1.64 |
| 0012A |
|
59 |
59 |
$0.00 |
| 3008F |
|
2,650 |
2,511 |
$0.00 |
| 3080F |
|
27 |
26 |
$0.00 |
| 96127 |
|
196 |
195 |
$0.00 |
| 3079F |
|
125 |
118 |
$0.00 |
| 91301 |
|
227 |
221 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
49 |
49 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
135 |
122 |
$0.00 |
| 92250 |
|
25 |
25 |
$0.00 |
| 3074F |
|
470 |
441 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
68 |
66 |
$0.00 |
| 0011A |
|
86 |
86 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
166 |
165 |
$0.00 |
| 97802 |
|
26 |
26 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
68 |
62 |
$0.00 |
| 3075F |
|
128 |
121 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
88 |
77 |
$0.00 |
| 99406 |
|
15 |
15 |
$0.00 |
| 99173 |
|
3,977 |
3,949 |
$0.00 |
| 1158F |
|
163 |
163 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
161 |
159 |
$0.00 |
| 3077F |
|
34 |
32 |
$0.00 |
| 1159F |
|
153 |
152 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
63 |
61 |
$0.00 |
| 3078F |
|
460 |
433 |
$0.00 |
| 0013A |
|
40 |
40 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
60 |
60 |
$0.00 |
| 90687 |
|
14 |
14 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
39 |
39 |
$0.00 |
| 90662 |
|
171 |
169 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
30 |
$0.00 |
| 1160F |
|
14 |
14 |
$0.00 |