| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,285 |
6,908 |
$300K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,149 |
2,864 |
$160K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,060 |
1,051 |
$83K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,032 |
979 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
826 |
819 |
$68K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,442 |
2,395 |
$67K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
540 |
535 |
$48K |
| 99429 |
|
1,005 |
1,000 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
428 |
422 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,433 |
1,308 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
130 |
125 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
361 |
176 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
337 |
330 |
$4K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
73 |
72 |
$4K |
| Q3014 |
Telehealth originating site facility fee |
200 |
176 |
$3K |
| 90461 |
|
1,586 |
1,377 |
$2K |
| 90671 |
|
82 |
72 |
$2K |
| 99463 |
|
16 |
16 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
50 |
$1K |
| 96160 |
|
640 |
625 |
$1K |
| 99499 |
|
13 |
13 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
17 |
$872.61 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
29 |
29 |
$700.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
67 |
62 |
$690.60 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
36 |
36 |
$450.89 |
| 90651 |
|
185 |
182 |
$288.53 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
12 |
$171.72 |
| 90619 |
|
27 |
26 |
$167.53 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$131.28 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
14 |
12 |
$0.65 |
| 90686 |
|
435 |
433 |
$0.03 |
| 90697 |
|
352 |
345 |
$0.02 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
421 |
411 |
$0.01 |
| S9451 |
Exercise classes, non-physician provider, per session |
113 |
113 |
$0.00 |
| 90680 |
|
497 |
488 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
249 |
247 |
$0.00 |
| 90677 |
|
97 |
95 |
$0.00 |
| 90698 |
|
80 |
80 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
20 |
20 |
$0.00 |
| 90744 |
|
25 |
25 |
$0.00 |
| 90656 |
|
137 |
134 |
$0.00 |
| 99050 |
|
18 |
18 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 90716 |
|
16 |
16 |
$0.00 |
| 90670 |
|
561 |
558 |
$0.00 |
| 90633 |
|
347 |
342 |
$0.00 |
| S9449 |
Weight management classes, non-physician provider, per session |
116 |
116 |
$0.00 |
| 90707 |
|
28 |
28 |
$0.00 |
| 90734 |
|
95 |
94 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90700 |
|
19 |
19 |
$0.00 |
| 90380 |
|
12 |
12 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |