| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,731 |
12,908 |
$1.27M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,778 |
2,596 |
$292K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,349 |
2,184 |
$274K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,397 |
2,320 |
$256K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,333 |
2,035 |
$227K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,586 |
3,372 |
$168K |
| 92552 |
|
6,668 |
6,250 |
$161K |
| 87428 |
|
4,853 |
4,359 |
$144K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
647 |
603 |
$77K |
| 90686 |
|
3,416 |
3,194 |
$76K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,700 |
1,529 |
$72K |
| 87430 |
|
4,532 |
4,064 |
$57K |
| W7010 |
|
3,547 |
3,289 |
$56K |
| 99401 |
|
1,506 |
1,303 |
$54K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,555 |
1,955 |
$47K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,056 |
3,754 |
$44K |
| D1206 |
Topical application of fluoride varnish |
1,445 |
1,410 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,723 |
2,518 |
$34K |
| 96127 |
|
7,098 |
6,685 |
$32K |
| 90648 |
|
1,137 |
1,081 |
$25K |
| 90671 |
|
272 |
255 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
834 |
785 |
$16K |
| 90670 |
|
606 |
581 |
$14K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
854 |
788 |
$13K |
| 90677 |
|
199 |
197 |
$13K |
| 87420 |
|
1,110 |
989 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
98 |
93 |
$11K |
| 99173 |
|
4,485 |
4,243 |
$11K |
| 90723 |
|
437 |
416 |
$10K |
| 0001A |
|
230 |
228 |
$9K |
| 0071A |
|
228 |
224 |
$9K |
| 0002A |
|
206 |
205 |
$8K |
| 0072A |
|
206 |
206 |
$8K |
| 90734 |
|
267 |
247 |
$6K |
| 90656 |
|
263 |
262 |
$6K |
| 87807 |
|
547 |
492 |
$6K |
| 90651 |
|
229 |
220 |
$6K |
| 96161 |
|
1,767 |
1,516 |
$5K |
| 90480 |
|
92 |
82 |
$4K |
| 90633 |
|
160 |
154 |
$4K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
347 |
342 |
$3K |
| 0053A |
|
79 |
71 |
$3K |
| 90620 |
|
102 |
89 |
$2K |
| 90710 |
|
102 |
88 |
$2K |
| 90681 |
|
86 |
81 |
$2K |
| 90680 |
|
66 |
65 |
$2K |
| 96160 |
|
568 |
522 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 99050 |
|
88 |
80 |
$1K |
| 91319 |
|
13 |
13 |
$1K |
| 0124A |
|
27 |
24 |
$1K |
| 0003A |
|
19 |
19 |
$760.00 |
| 0052A |
|
15 |
14 |
$560.00 |
| 99051 |
|
56 |
54 |
$442.04 |
| 99000 |
|
387 |
351 |
$91.20 |
| G9920 |
Screening performed and negative |
384 |
358 |
$87.40 |
| 36416 |
|
402 |
342 |
$82.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
96 |
93 |
$18.00 |
| 91300 |
|
332 |
318 |
$0.14 |
| 91312 |
|
27 |
24 |
$0.00 |
| 91307 |
|
518 |
485 |
$0.00 |
| INVCD |
|
12 |
12 |
$0.00 |
| 91305 |
|
158 |
137 |
$0.00 |