| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,482 |
41,409 |
$2.32M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,625 |
14,119 |
$1.14M |
| 99199 |
Unlisted special service, procedure or report |
132,920 |
113,367 |
$821K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,602 |
8,587 |
$803K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,729 |
6,759 |
$616K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,266 |
5,700 |
$556K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,291 |
2,987 |
$318K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,562 |
3,123 |
$153K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
19,520 |
16,192 |
$148K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,526 |
5,889 |
$127K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,966 |
7,196 |
$111K |
| D0145 |
Oral evaluation for a patient under three years of age |
3,403 |
3,139 |
$111K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,526 |
854 |
$77K |
| 99051 |
|
3,779 |
3,475 |
$70K |
| 90791 |
Psychiatric diagnostic evaluation |
668 |
573 |
$56K |
| D1206 |
Topical application of fluoride varnish |
3,333 |
3,093 |
$46K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,063 |
1,881 |
$43K |
| 96127 |
|
9,599 |
8,910 |
$35K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,498 |
1,228 |
$34K |
| 92587 |
|
6,050 |
5,369 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,279 |
2,047 |
$25K |
| 87428 |
|
922 |
745 |
$22K |
| 90686 |
|
3,659 |
3,190 |
$17K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
143 |
86 |
$10K |
| 90670 |
|
4,529 |
4,006 |
$10K |
| 90723 |
|
2,949 |
2,634 |
$8K |
| 90734 |
|
428 |
367 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
133 |
115 |
$7K |
| 83655 |
|
480 |
435 |
$6K |
| 90651 |
|
135 |
120 |
$6K |
| 90647 |
|
2,183 |
1,910 |
$5K |
| 99401 |
|
681 |
420 |
$4K |
| 90677 |
|
414 |
348 |
$4K |
| 99460 |
|
55 |
48 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
255 |
219 |
$3K |
| 99173 |
|
4,324 |
3,885 |
$2K |
| 90461 |
|
1,420 |
1,244 |
$2K |
| 90474 |
|
110 |
105 |
$2K |
| 90707 |
|
686 |
590 |
$2K |
| 90716 |
|
678 |
586 |
$2K |
| 90681 |
|
750 |
675 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
80 |
77 |
$2K |
| 90633 |
|
686 |
609 |
$1K |
| 0072A |
|
35 |
28 |
$1K |
| 90656 |
|
229 |
227 |
$996.96 |
| 1126F |
|
14,577 |
12,616 |
$679.46 |
| 69210 |
|
36 |
28 |
$678.94 |
| 90832 |
Psychotherapy, 30 minutes with patient |
16 |
12 |
$674.54 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
83 |
76 |
$633.35 |
| 87807 |
|
58 |
41 |
$510.60 |
| 85018 |
|
831 |
727 |
$448.44 |
| 90648 |
|
471 |
453 |
$439.49 |
| 36416 |
|
1,988 |
1,602 |
$359.57 |
| 1159F |
|
14,314 |
12,222 |
$300.02 |
| 90696 |
|
28 |
25 |
$140.75 |
| 87420 |
|
14 |
12 |
$138.60 |
| 90715 |
|
47 |
39 |
$113.14 |
| 90620 |
|
25 |
25 |
$111.55 |
| 94664 |
|
14 |
13 |
$77.84 |
| 3008F |
|
3,967 |
3,374 |
$50.01 |
| 90700 |
|
36 |
24 |
$34.10 |
| 1125F |
|
7,404 |
6,707 |
$20.50 |
| 94760 |
|
69 |
60 |
$13.30 |
| S9470 |
Nutritional counseling, dietitian visit |
7,240 |
6,622 |
$0.20 |
| 91307 |
|
69 |
47 |
$0.03 |
| 1160F |
|
711 |
604 |
$0.02 |
| 90685 |
|
14 |
12 |
$0.00 |
| 3078F |
|
14 |
14 |
$0.00 |
| 90649 |
|
20 |
15 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,189 |
3,853 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
138 |
135 |
$0.00 |
| 3074F |
|
14 |
14 |
$0.00 |