| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,537 |
14,963 |
$636K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,417 |
10,039 |
$555K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,930 |
3,696 |
$308K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,422 |
3,199 |
$295K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,049 |
10,397 |
$274K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,886 |
3,988 |
$168K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,319 |
2,159 |
$166K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,703 |
6,280 |
$88K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,437 |
3,057 |
$87K |
| 97802 |
|
4,405 |
4,135 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
786 |
751 |
$59K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,499 |
5,050 |
$51K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,062 |
2,756 |
$38K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
390 |
380 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,020 |
1,350 |
$13K |
| 90620 |
|
217 |
208 |
$4K |
| 90734 |
|
874 |
805 |
$4K |
| 90651 |
|
584 |
511 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
33 |
$3K |
| 99050 |
|
877 |
812 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
153 |
152 |
$1K |
| 99358 |
Prolong nursin fac eval 15m |
12 |
12 |
$1K |
| 96161 |
|
1,257 |
1,180 |
$809.09 |
| 90686 |
|
1,872 |
1,704 |
$745.65 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
51 |
42 |
$652.55 |
| 90715 |
|
513 |
483 |
$602.58 |
| 97169 |
|
13 |
13 |
$315.80 |
| 90461 |
|
25 |
17 |
$16.85 |
| 96160 |
|
177 |
155 |
$6.08 |
| 90633 |
|
406 |
394 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
52 |
52 |
$0.00 |
| 90713 |
|
49 |
47 |
$0.00 |
| 90670 |
|
770 |
730 |
$0.00 |
| 90710 |
|
120 |
110 |
$0.00 |
| 90707 |
|
47 |
43 |
$0.00 |
| 90648 |
|
39 |
37 |
$0.00 |
| 90700 |
|
61 |
58 |
$0.00 |
| 90698 |
|
481 |
456 |
$0.00 |
| 90677 |
|
108 |
105 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,912 |
3,670 |
$0.00 |
| 90744 |
|
226 |
216 |
$0.00 |
| 90696 |
|
105 |
96 |
$0.00 |
| 96127 |
|
379 |
372 |
$0.00 |
| 90680 |
|
79 |
77 |
$0.00 |
| 90716 |
|
35 |
32 |
$0.00 |