| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,836 |
4,662 |
$623K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,889 |
3,242 |
$297K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,181 |
2,010 |
$219K |
| 99215 |
Prolong outpt/office vis |
1,110 |
948 |
$160K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,830 |
1,420 |
$141K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,069 |
1,009 |
$111K |
| 90686 |
|
1,978 |
1,831 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
347 |
307 |
$40K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,086 |
3,406 |
$35K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
650 |
557 |
$24K |
| 90648 |
|
1,280 |
1,097 |
$24K |
| 96160 |
|
9,370 |
4,920 |
$24K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,407 |
1,248 |
$20K |
| 90670 |
|
897 |
819 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,907 |
799 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
376 |
327 |
$17K |
| 99177 |
|
3,330 |
3,043 |
$15K |
| 90723 |
|
851 |
708 |
$15K |
| 92551 |
|
1,573 |
1,448 |
$14K |
| 96127 |
|
3,020 |
2,432 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
308 |
281 |
$11K |
| 90680 |
|
523 |
465 |
$10K |
| 90633 |
|
435 |
413 |
$9K |
| 90671 |
|
259 |
190 |
$8K |
| 92524 |
|
119 |
109 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
633 |
559 |
$7K |
| 92552 |
|
335 |
307 |
$7K |
| 99051 |
|
815 |
707 |
$6K |
| W7010 |
|
404 |
354 |
$6K |
| 90710 |
|
244 |
228 |
$5K |
| 90677 |
|
130 |
97 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,964 |
1,678 |
$4K |
| 99173 |
|
1,571 |
1,410 |
$4K |
| 90651 |
|
106 |
94 |
$3K |
| 90656 |
|
149 |
142 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
211 |
174 |
$3K |
| 96161 |
|
1,255 |
1,005 |
$2K |
| 90700 |
|
73 |
69 |
$2K |
| 90681 |
|
99 |
61 |
$1K |
| 99381 |
|
15 |
13 |
$1K |
| 85018 |
|
561 |
497 |
$959.94 |
| 94664 |
|
93 |
77 |
$944.20 |
| 90696 |
|
33 |
30 |
$744.96 |
| G9920 |
Screening performed and negative |
1,135 |
972 |
$713.13 |
| 83655 |
|
59 |
55 |
$635.46 |
| 0001A |
|
19 |
19 |
$600.00 |
| 69210 |
|
16 |
14 |
$592.80 |
| 90734 |
|
26 |
26 |
$582.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
395 |
334 |
$500.34 |
| 94010 |
|
21 |
13 |
$485.01 |
| 90716 |
|
14 |
14 |
$325.92 |
| 90707 |
|
12 |
12 |
$279.36 |
| 92550 |
|
15 |
13 |
$193.44 |
| 87807 |
|
19 |
15 |
$177.51 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
160 |
132 |
$105.71 |
| 3008F |
|
42 |
42 |
$65.00 |
| 36416 |
|
709 |
528 |
$40.50 |
| D1206 |
Topical application of fluoride varnish |
386 |
349 |
$36.00 |
| 81003 |
|
13 |
12 |
$14.42 |
| 94760 |
|
40 |
35 |
$13.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
16 |
$7.75 |
| 99001 |
|
2,748 |
2,111 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
31 |
27 |
$0.00 |
| 90661 |
|
37 |
32 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
139 |
121 |
$0.00 |
| 90381 |
|
14 |
12 |
$0.00 |