| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,530 |
12,717 |
$1.95M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,387 |
6,358 |
$647K |
| 92552 |
|
4,166 |
3,746 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
887 |
828 |
$85K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,992 |
1,688 |
$83K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
741 |
700 |
$75K |
| 94010 |
|
2,310 |
2,119 |
$58K |
| D1206 |
Topical application of fluoride varnish |
2,327 |
2,286 |
$57K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
559 |
493 |
$51K |
| 93000 |
|
2,348 |
2,092 |
$32K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
281 |
259 |
$28K |
| 99050 |
|
2,467 |
1,927 |
$21K |
| 90686 |
|
997 |
886 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
134 |
128 |
$14K |
| 97803 |
|
1,329 |
1,007 |
$13K |
| 97802 |
|
974 |
823 |
$8K |
| 83655 |
|
891 |
795 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
70 |
63 |
$6K |
| 36410 |
|
532 |
496 |
$6K |
| 96127 |
|
1,216 |
1,154 |
$5K |
| 90734 |
|
194 |
185 |
$4K |
| 90670 |
|
224 |
181 |
$4K |
| 0002A |
|
116 |
114 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
221 |
177 |
$4K |
| 0001A |
|
97 |
91 |
$3K |
| 81025 |
|
772 |
716 |
$3K |
| 90620 |
|
108 |
105 |
$3K |
| 99173 |
|
1,425 |
1,250 |
$3K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
43 |
34 |
$2K |
| 81005 |
|
2,148 |
1,917 |
$2K |
| 0071A |
|
54 |
52 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
221 |
209 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
900 |
748 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
30 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
12 |
$2K |
| 90651 |
|
57 |
57 |
$1K |
| 90710 |
|
74 |
55 |
$1K |
| 90715 |
|
46 |
45 |
$1K |
| 90633 |
|
54 |
53 |
$924.79 |
| 90698 |
|
45 |
38 |
$861.36 |
| 86580 |
|
184 |
166 |
$803.48 |
| 90649 |
|
47 |
44 |
$791.52 |
| 86403 |
|
139 |
95 |
$767.67 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
54 |
28 |
$624.24 |
| 0003A |
|
13 |
13 |
$520.00 |
| 99402 |
|
569 |
192 |
$495.00 |
| 0072A |
|
13 |
13 |
$480.00 |
| 94375 |
|
16 |
15 |
$471.00 |
| 90681 |
|
13 |
12 |
$279.36 |
| 90744 |
|
14 |
13 |
$279.36 |
| 99401 |
|
1,376 |
550 |
$252.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
31 |
$245.45 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
69 |
59 |
$189.00 |
| 82962 |
|
111 |
89 |
$164.66 |
| 94760 |
|
43 |
24 |
$62.40 |
| 91300 |
|
118 |
112 |
$40.02 |
| 36416 |
|
15 |
14 |
$0.00 |
| 91307 |
|
16 |
16 |
$0.00 |