| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,546 |
8,589 |
$577K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,570 |
3,532 |
$262K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,824 |
3,600 |
$246K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,033 |
3,020 |
$229K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,672 |
1,662 |
$141K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,463 |
1,420 |
$126K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,241 |
4,204 |
$74K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,739 |
7,646 |
$72K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,623 |
1,576 |
$47K |
| 92551 |
|
5,515 |
5,459 |
$37K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,309 |
3,229 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
851 |
602 |
$22K |
| G9002 |
Coordinated care fee, maintenance rate |
597 |
577 |
$20K |
| 90480 |
|
332 |
330 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
726 |
697 |
$11K |
| 90473 |
|
1,240 |
1,237 |
$10K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
333 |
325 |
$9K |
| 96127 |
|
2,492 |
2,442 |
$8K |
| 90474 |
|
718 |
717 |
$7K |
| 0071A |
|
141 |
141 |
$5K |
| 81002 |
|
1,661 |
1,610 |
$4K |
| 0072A |
|
105 |
105 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
78 |
77 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
223 |
216 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
34 |
34 |
$3K |
| 98966 |
|
274 |
257 |
$2K |
| 0001A |
|
68 |
68 |
$2K |
| 90677 |
|
364 |
364 |
$2K |
| 0124A |
|
47 |
47 |
$2K |
| 0002A |
|
42 |
42 |
$2K |
| 96161 |
|
521 |
500 |
$1K |
| 0081A |
|
29 |
27 |
$975.78 |
| G9001 |
Coordinated care fee, initial rate |
13 |
13 |
$729.90 |
| 87081 |
|
135 |
132 |
$717.81 |
| 0074A |
|
15 |
15 |
$527.28 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
17 |
17 |
$514.66 |
| 94664 |
|
78 |
75 |
$439.60 |
| 90670 |
|
2,452 |
2,406 |
$429.96 |
| 85018 |
|
197 |
196 |
$361.90 |
| 0154A |
|
13 |
13 |
$357.23 |
| 90672 |
|
1,286 |
1,283 |
$277.92 |
| 92558 |
|
49 |
49 |
$260.85 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
23 |
$223.75 |
| 94010 |
|
15 |
13 |
$221.52 |
| 96380 |
|
13 |
13 |
$202.70 |
| 90686 |
|
3,130 |
3,112 |
$153.88 |
| 36416 |
|
54 |
54 |
$61.44 |
| 96160 |
|
101 |
101 |
$45.95 |
| 90715 |
|
53 |
53 |
$34.29 |
| 90685 |
|
426 |
392 |
$21.84 |
| 91315 |
|
13 |
13 |
$2.23 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,936 |
1,916 |
$0.51 |
| 90651 |
|
443 |
440 |
$0.44 |
| 91320 |
|
65 |
65 |
$0.11 |
| 90656 |
|
226 |
225 |
$0.06 |
| 90660 |
|
148 |
147 |
$0.02 |
| 1005F |
|
739 |
719 |
$0.01 |
| 90744 |
|
1,091 |
1,075 |
$0.00 |
| 90680 |
|
2,018 |
1,978 |
$0.00 |
| 91319 |
|
59 |
59 |
$0.00 |
| 90697 |
|
503 |
502 |
$0.00 |
| 90619 |
|
155 |
155 |
$0.00 |
| 90698 |
|
1,665 |
1,626 |
$0.00 |
| 91318 |
|
83 |
83 |
$0.00 |
| 1038F |
|
159 |
152 |
$0.00 |
| 90696 |
|
113 |
113 |
$0.00 |
| 90716 |
|
132 |
131 |
$0.00 |
| 91307 |
|
312 |
289 |
$0.00 |
| 91305 |
|
18 |
18 |
$0.00 |
| 90633 |
|
1,434 |
1,408 |
$0.00 |
| G9920 |
Screening performed and negative |
403 |
401 |
$0.00 |
| 99173 |
|
5,869 |
5,828 |
$0.00 |
| 91308 |
|
65 |
60 |
$0.00 |
| 90461 |
|
470 |
437 |
$0.00 |
| 99072 |
|
116 |
111 |
$0.00 |
| 90707 |
|
173 |
171 |
$0.00 |
| 90700 |
|
53 |
53 |
$0.00 |
| 90710 |
|
117 |
117 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
15 |
15 |
$0.00 |
| 91300 |
|
203 |
182 |
$0.00 |
| 90648 |
|
59 |
59 |
$0.00 |
| 90734 |
|
140 |
137 |
$0.00 |
| 91312 |
|
47 |
47 |
$0.00 |
| 91311 |
|
29 |
29 |
$0.00 |