| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,560 |
7,745 |
$455K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,484 |
5,661 |
$216K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,112 |
1,851 |
$166K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,557 |
1,421 |
$122K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,350 |
1,191 |
$104K |
| D0190 |
|
4,533 |
4,053 |
$65K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,575 |
3,172 |
$53K |
| 96127 |
|
3,722 |
3,380 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
571 |
496 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
459 |
433 |
$42K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,164 |
1,027 |
$32K |
| 99173 |
|
3,093 |
2,765 |
$23K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,774 |
2,482 |
$23K |
| D1206 |
Topical application of fluoride varnish |
1,348 |
1,254 |
$20K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
372 |
208 |
$19K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
304 |
294 |
$15K |
| 99174 |
|
649 |
641 |
$10K |
| 0071A |
|
160 |
153 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
174 |
168 |
$7K |
| 0072A |
|
132 |
126 |
$6K |
| 90480 |
|
96 |
94 |
$6K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
119 |
70 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
230 |
223 |
$4K |
| 83655 |
|
171 |
165 |
$2K |
| 94760 |
|
1,748 |
1,649 |
$2K |
| 90651 |
|
126 |
122 |
$2K |
| 90670 |
|
864 |
786 |
$1K |
| 90686 |
|
2,131 |
2,071 |
$1K |
| 0002A |
|
29 |
29 |
$1K |
| 97803 |
|
25 |
25 |
$1K |
| 85018 |
|
433 |
420 |
$979.86 |
| 0081A |
|
15 |
14 |
$926.55 |
| 0001A |
|
30 |
28 |
$900.06 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
27 |
$860.60 |
| 0154A |
|
12 |
12 |
$741.24 |
| 97802 |
|
14 |
14 |
$645.96 |
| 0082A |
|
13 |
13 |
$610.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
36 |
$607.41 |
| 36415 |
Collection of venous blood by venipuncture |
127 |
121 |
$344.67 |
| 90461 |
|
2,509 |
2,174 |
$260.00 |
| 90633 |
|
173 |
172 |
$250.69 |
| 90698 |
|
339 |
331 |
$230.00 |
| 90656 |
|
100 |
99 |
$94.35 |
| 99000 |
|
1,894 |
1,648 |
$94.21 |
| 36416 |
|
1,385 |
1,231 |
$62.14 |
| 91307 |
|
414 |
395 |
$35.00 |
| 90744 |
|
54 |
54 |
$29.70 |
| 90688 |
|
618 |
560 |
$20.17 |
| 91300 |
|
174 |
168 |
$0.01 |
| 90700 |
|
120 |
119 |
$0.00 |
| 91308 |
|
112 |
105 |
$0.00 |
| 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) |
19 |
19 |
$0.00 |
| 90687 |
|
49 |
26 |
$0.00 |
| 91320 |
|
14 |
13 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90680 |
|
252 |
244 |
$0.00 |
| 91305 |
|
61 |
60 |
$0.00 |
| 90677 |
|
53 |
53 |
$0.00 |
| 91315 |
|
12 |
12 |
$0.00 |