| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,819 |
3,952 |
$965K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,041 |
773 |
$211K |
| D0999 |
Unspecified diagnostic procedure, by report |
246 |
245 |
$79K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
286 |
270 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
198 |
161 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,926 |
1,729 |
$20K |
| 92551 |
|
1,222 |
1,018 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
87 |
87 |
$16K |
| 90837 |
Psychotherapy, 53 minutes with patient |
41 |
24 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
38 |
$8K |
| 90688 |
|
855 |
819 |
$7K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$4K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
14 |
$4K |
| D0190 |
|
440 |
365 |
$3K |
| 96127 |
|
1,159 |
961 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
271 |
230 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
151 |
134 |
$1K |
| 90651 |
|
71 |
55 |
$483.19 |
| 90480 |
|
14 |
14 |
$432.39 |
| 0073A |
|
15 |
13 |
$280.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
441 |
365 |
$251.19 |
| 90715 |
|
17 |
16 |
$251.19 |
| S9470 |
Nutritional counseling, dietitian visit |
1,531 |
1,296 |
$232.00 |
| 99173 |
|
1,148 |
980 |
$232.00 |
| D1206 |
Topical application of fluoride varnish |
247 |
247 |
$130.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
162 |
153 |
$75.00 |
| H0049 |
Alcohol and/or drug screening |
613 |
563 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
153 |
135 |
$0.00 |
| 91307 |
|
26 |
25 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
21 |
17 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
12 |
$0.00 |
| 99174 |
|
12 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
88 |
82 |
$0.00 |
| 90461 |
|
111 |
110 |
$0.00 |
| 90687 |
|
13 |
13 |
$0.00 |
| G8780 |
Counseling for diet and physical activity performed |
12 |
12 |
$0.00 |
| 91300 |
|
31 |
30 |
$0.00 |
| 99177 |
|
12 |
12 |
$0.00 |
| 91312 |
|
13 |
13 |
$0.00 |
| 90633 |
|
15 |
14 |
$0.00 |
| 90734 |
|
35 |
30 |
$0.00 |
| 99408 |
|
33 |
16 |
$0.00 |