| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,624 |
30,125 |
$1.37M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,420 |
5,969 |
$519K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,751 |
5,705 |
$483K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
33,718 |
15,282 |
$396K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,744 |
3,685 |
$321K |
| 87428 |
|
5,370 |
5,173 |
$241K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,247 |
2,216 |
$199K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,597 |
1,516 |
$78K |
| 90461 |
|
8,130 |
7,139 |
$62K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,691 |
1,636 |
$51K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,939 |
4,447 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,455 |
1,311 |
$35K |
| 87807 |
|
1,458 |
1,405 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
354 |
323 |
$5K |
| 90677 |
|
1,065 |
1,055 |
$5K |
| 0071A |
|
89 |
89 |
$3K |
| 0072A |
|
85 |
85 |
$3K |
| 83655 |
|
328 |
325 |
$3K |
| 90380 |
|
39 |
39 |
$2K |
| 0081A |
|
52 |
51 |
$2K |
| 0082A |
|
50 |
49 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
31 |
30 |
$2K |
| 99429 |
|
50 |
50 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
117 |
113 |
$2K |
| 90686 |
|
5,864 |
5,832 |
$1K |
| 90680 |
|
2,636 |
2,618 |
$1K |
| 90656 |
|
758 |
755 |
$729.83 |
| 96380 |
|
38 |
38 |
$729.34 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$689.85 |
| 90648 |
|
1,726 |
1,714 |
$537.83 |
| S9470 |
Nutritional counseling, dietitian visit |
36 |
36 |
$502.60 |
| 0001A |
|
196 |
187 |
$450.00 |
| 85018 |
|
838 |
829 |
$400.96 |
| 90723 |
|
793 |
786 |
$282.70 |
| 90651 |
|
501 |
498 |
$177.08 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
166 |
161 |
$90.00 |
| 96160 |
|
55 |
55 |
$41.08 |
| 90633 |
|
1,016 |
1,010 |
$36.27 |
| 90672 |
|
253 |
251 |
$35.02 |
| 90655 |
|
25 |
25 |
$18.05 |
| 90670 |
|
3,155 |
3,133 |
$1.40 |
| 90619 |
|
222 |
219 |
$0.62 |
| 91307 |
|
367 |
197 |
$0.03 |
| 90707 |
|
51 |
51 |
$0.02 |
| 90716 |
|
52 |
52 |
$0.02 |
| 90744 |
|
53 |
52 |
$0.02 |
| 91308 |
|
120 |
100 |
$0.01 |
| 90734 |
|
55 |
55 |
$0.01 |
| 90620 |
|
209 |
208 |
$0.01 |
| 90700 |
|
24 |
24 |
$0.00 |
| 90715 |
|
25 |
24 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |
| 90698 |
|
1,153 |
1,145 |
$0.00 |
| 96127 |
|
45 |
45 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |