| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,410 |
10,715 |
$490K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,818 |
6,907 |
$481K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,356 |
5,572 |
$186K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,256 |
2,102 |
$126K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,928 |
1,820 |
$116K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,742 |
1,663 |
$96K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,745 |
1,572 |
$87K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,814 |
6,159 |
$58K |
| 99051 |
|
1,191 |
860 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,544 |
1,440 |
$18K |
| 90670 |
|
1,150 |
1,085 |
$15K |
| 90832 |
Psychotherapy, 30 minutes with patient |
377 |
241 |
$14K |
| 96127 |
|
3,535 |
3,233 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
513 |
480 |
$11K |
| 90837 |
Psychotherapy, 53 minutes with patient |
131 |
88 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
548 |
256 |
$6K |
| 90651 |
|
516 |
486 |
$5K |
| 90734 |
|
545 |
519 |
$3K |
| 90620 |
|
287 |
279 |
$3K |
| 90633 |
|
367 |
338 |
$3K |
| 99215 |
Prolong outpt/office vis |
30 |
29 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
24 |
24 |
$2K |
| 90686 |
|
1,190 |
1,133 |
$2K |
| 90723 |
|
643 |
620 |
$2K |
| 81025 |
|
252 |
242 |
$2K |
| 90671 |
|
31 |
28 |
$1K |
| 90647 |
|
616 |
595 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
86 |
82 |
$700.58 |
| 92552 |
|
46 |
46 |
$514.74 |
| 81002 |
|
207 |
187 |
$505.71 |
| 92081 |
|
29 |
28 |
$466.41 |
| 90715 |
|
167 |
155 |
$427.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
24 |
$351.90 |
| 90658 |
|
309 |
294 |
$248.46 |
| 90461 |
|
2,605 |
2,143 |
$241.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
13 |
$189.74 |
| 90680 |
|
502 |
489 |
$120.00 |
| 90657 |
|
60 |
57 |
$60.00 |
| 99173 |
|
19 |
19 |
$37.80 |
| 96161 |
|
18 |
17 |
$14.40 |
| 98960 |
|
20 |
19 |
$14.00 |
| 3008F |
|
712 |
705 |
$10.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,874 |
1,812 |
$0.28 |
| 1036F |
|
753 |
737 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
445 |
429 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,117 |
1,038 |
$0.00 |
| 94760 |
|
135 |
122 |
$0.00 |
| 90696 |
|
25 |
25 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
1,079 |
1,011 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
94 |
75 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
480 |
442 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
56 |
53 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
176 |
163 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |