| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,752 |
7,271 |
$491K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,189 |
4,719 |
$468K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,255 |
9,020 |
$402K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,463 |
3,398 |
$332K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,531 |
1,490 |
$141K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,643 |
3,399 |
$136K |
| 99460 |
|
980 |
945 |
$82K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
704 |
678 |
$70K |
| 99070 |
|
6,047 |
5,828 |
$66K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
959 |
920 |
$60K |
| 94780 |
|
950 |
913 |
$39K |
| Q3014 |
Telehealth originating site facility fee |
1,696 |
1,606 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
412 |
391 |
$37K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,816 |
1,754 |
$31K |
| D1206 |
Topical application of fluoride varnish |
619 |
612 |
$27K |
| 99401 |
|
2,738 |
2,674 |
$24K |
| 99188 |
|
1,828 |
1,791 |
$19K |
| 92567 |
|
852 |
834 |
$10K |
| 99177 |
|
2,114 |
2,062 |
$6K |
| 96127 |
|
1,094 |
1,056 |
$5K |
| 99383 |
|
43 |
42 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
216 |
211 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
291 |
276 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
243 |
240 |
$4K |
| 99381 |
|
29 |
29 |
$3K |
| 99462 |
|
85 |
73 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
355 |
350 |
$2K |
| 99384 |
|
12 |
12 |
$2K |
| 0072A |
|
47 |
42 |
$1K |
| 0071A |
|
32 |
30 |
$1K |
| 36416 |
|
301 |
290 |
$911.78 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
20 |
18 |
$338.03 |
| 90651 |
|
274 |
262 |
$241.28 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
15 |
$175.37 |
| 87275 |
|
15 |
15 |
$107.72 |
| 87276 |
|
15 |
15 |
$107.72 |
| 90686 |
|
2,093 |
2,030 |
$44.47 |
| 90677 |
|
615 |
609 |
$3.18 |
| 90697 |
|
68 |
66 |
$0.14 |
| 90619 |
|
53 |
53 |
$0.02 |
| 90734 |
|
120 |
117 |
$0.01 |
| 90620 |
|
13 |
13 |
$0.01 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
774 |
745 |
$0.00 |
| 90670 |
|
2,506 |
2,469 |
$0.00 |
| 90633 |
|
922 |
906 |
$0.00 |
| 99051 |
|
14 |
14 |
$0.00 |
| 90710 |
|
414 |
406 |
$0.00 |
| 90715 |
|
55 |
53 |
$0.00 |
| 90687 |
|
13 |
13 |
$0.00 |
| 90685 |
|
19 |
17 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$0.00 |
| 90744 |
|
362 |
358 |
$0.00 |
| 90680 |
|
1,817 |
1,799 |
$0.00 |
| 90698 |
|
1,377 |
1,354 |
$0.00 |
| 90723 |
|
78 |
77 |
$0.00 |
| 99000 |
|
246 |
237 |
$0.00 |
| 90647 |
|
272 |
265 |
$0.00 |
| 90696 |
|
44 |
43 |
$0.00 |
| 97802 |
|
51 |
50 |
$0.00 |
| 91307 |
|
88 |
78 |
$0.00 |