| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,895 |
28,454 |
$3.73M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,483 |
32,976 |
$2.92M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,103 |
7,911 |
$1.14M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,811 |
15,564 |
$898K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,673 |
6,508 |
$860K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,103 |
4,781 |
$762K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,000 |
3,902 |
$554K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23,913 |
21,214 |
$509K |
| 99381 |
|
1,201 |
1,125 |
$162K |
| 97802 |
|
14,446 |
12,702 |
$101K |
| 97803 |
|
11,344 |
10,916 |
$89K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,426 |
2,327 |
$66K |
| 90461 |
|
6,887 |
6,662 |
$54K |
| 99382 |
|
233 |
228 |
$42K |
| 99383 |
|
231 |
222 |
$40K |
| H0049 |
Alcohol and/or drug screening |
4,533 |
4,171 |
$39K |
| 96160 |
|
7,507 |
6,052 |
$35K |
| 92558 |
|
9,448 |
8,990 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,092 |
4,908 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
214 |
208 |
$27K |
| 99051 |
|
4,943 |
4,627 |
$26K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,343 |
4,235 |
$22K |
| 99401 |
|
2,926 |
2,600 |
$22K |
| 99384 |
|
116 |
111 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,831 |
1,770 |
$15K |
| 69210 |
|
1,091 |
651 |
$14K |
| 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 |
2,311 |
2,054 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,515 |
1,344 |
$11K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,246 |
2,127 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
497 |
416 |
$9K |
| 92567 |
|
1,374 |
1,318 |
$7K |
| 94664 |
|
1,376 |
1,318 |
$6K |
| 83655 |
|
904 |
891 |
$4K |
| 69209 |
|
520 |
320 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
729 |
692 |
$3K |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$3K |
| 99188 |
|
226 |
216 |
$2K |
| 96127 |
|
4,591 |
3,798 |
$2K |
| 0002A |
|
119 |
119 |
$1K |
| 99050 |
|
280 |
272 |
$1K |
| 0001A |
|
110 |
110 |
$1K |
| 0072A |
|
76 |
76 |
$960.02 |
| 90648 |
|
4,217 |
4,035 |
$916.53 |
| 0071A |
|
61 |
59 |
$880.00 |
| 85018 |
|
889 |
878 |
$829.70 |
| 90686 |
|
9,712 |
9,409 |
$814.22 |
| 90619 |
|
460 |
457 |
$590.19 |
| 96161 |
|
1,020 |
854 |
$521.82 |
| 90716 |
|
2,449 |
2,374 |
$508.53 |
| 90674 |
|
250 |
247 |
$490.92 |
| 90707 |
|
2,350 |
2,275 |
$487.30 |
| 90744 |
|
2,635 |
2,508 |
$441.07 |
| 90670 |
|
3,417 |
3,247 |
$430.35 |
| 90700 |
|
5,395 |
5,155 |
$316.32 |
| 90715 |
|
781 |
764 |
$289.81 |
| 99402 |
|
182 |
174 |
$267.34 |
| 90680 |
|
3,398 |
3,237 |
$238.58 |
| 90713 |
|
4,138 |
3,946 |
$216.80 |
| 99173 |
|
11,752 |
9,186 |
$183.83 |
| 96380 |
|
12 |
12 |
$171.91 |
| 1111F |
|
2,885 |
2,666 |
$129.60 |
| 90633 |
|
2,847 |
2,767 |
$126.30 |
| 87807 |
|
16 |
13 |
$123.84 |
| 90677 |
|
799 |
777 |
$116.88 |
| 99358 |
Prolong nursin fac eval 15m |
283 |
251 |
$114.66 |
| S9451 |
Exercise classes, non-physician provider, per session |
15,712 |
13,248 |
$89.43 |
| 90698 |
|
461 |
451 |
$84.24 |
| 90651 |
|
2,011 |
1,939 |
$75.15 |
| 99354 |
|
309 |
302 |
$60.49 |
| 90473 |
|
51 |
51 |
$17.76 |
| 36416 |
|
877 |
843 |
$10.80 |
| 91307 |
|
140 |
125 |
$0.04 |
| 90656 |
|
1,298 |
1,282 |
$0.04 |
| 90671 |
|
517 |
511 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
175 |
149 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
677 |
406 |
$0.00 |
| 99177 |
|
2,105 |
1,724 |
$0.00 |
| 90734 |
|
951 |
905 |
$0.00 |
| 91300 |
|
181 |
145 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
440 |
361 |
$0.00 |
| 90710 |
|
76 |
76 |
$0.00 |
| 90685 |
|
279 |
218 |
$0.00 |
| 98960 |
|
14 |
13 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
31 |
30 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
804 |
716 |
$0.00 |
| 90620 |
|
901 |
886 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
5,260 |
4,176 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
10,903 |
9,320 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,037 |
2,217 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
820 |
729 |
$0.00 |
| 90723 |
|
159 |
158 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 90381 |
|
13 |
13 |
$0.00 |