| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,184 |
32,906 |
$2.44M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,898 |
15,904 |
$1.64M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,046 |
9,018 |
$711K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,773 |
7,747 |
$602K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,720 |
8,568 |
$596K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
22,464 |
22,186 |
$425K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,980 |
4,964 |
$423K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17,169 |
17,065 |
$164K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,546 |
3,420 |
$120K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,613 |
3,538 |
$94K |
| 95930 |
|
2,245 |
2,234 |
$89K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,766 |
5,554 |
$77K |
| D0190 |
|
4,528 |
4,508 |
$72K |
| 99381 |
|
685 |
684 |
$61K |
| 83655 |
|
4,917 |
4,891 |
$53K |
| 99460 |
|
786 |
780 |
$42K |
| 99188 |
|
4,503 |
4,489 |
$33K |
| 90677 |
|
481 |
480 |
$31K |
| 81003 |
|
14,272 |
13,731 |
$27K |
| 99462 |
|
1,032 |
731 |
$24K |
| 99177 |
|
10,310 |
10,269 |
$23K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
650 |
626 |
$23K |
| 96127 |
|
7,023 |
6,973 |
$22K |
| 99215 |
Prolong outpt/office vis |
182 |
179 |
$20K |
| 69210 |
|
650 |
632 |
$18K |
| 99383 |
|
167 |
166 |
$16K |
| 90473 |
|
3,615 |
3,598 |
$14K |
| 99463 |
|
192 |
192 |
$12K |
| 85018 |
|
5,455 |
5,419 |
$11K |
| 92587 |
|
732 |
730 |
$10K |
| 36416 |
|
3,172 |
3,142 |
$8K |
| 17110 |
|
116 |
109 |
$8K |
| 0071A |
|
145 |
145 |
$6K |
| 99384 |
|
51 |
50 |
$5K |
| 0072A |
|
117 |
117 |
$5K |
| 99382 |
|
44 |
44 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
423 |
403 |
$4K |
| 99051 |
|
4,828 |
4,673 |
$3K |
| 99174 |
|
8,516 |
8,461 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 0001A |
|
29 |
29 |
$1K |
| 0002A |
|
22 |
22 |
$770.00 |
| 90480 |
|
12 |
12 |
$480.00 |
| 90685 |
|
328 |
324 |
$172.86 |
| 90621 |
|
302 |
302 |
$154.92 |
| 90461 |
|
12,092 |
11,627 |
$148.00 |
| 90619 |
|
930 |
926 |
$62.50 |
| 90715 |
|
618 |
617 |
$32.84 |
| 90744 |
|
2,344 |
2,338 |
$26.90 |
| 99072 |
|
2,340 |
2,071 |
$17.50 |
| S9470 |
Nutritional counseling, dietitian visit |
14,702 |
14,626 |
$6.94 |
| S9451 |
Exercise classes, non-physician provider, per session |
15,332 |
15,262 |
$6.02 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
14,361 |
14,298 |
$0.69 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
246 |
231 |
$0.07 |
| 90707 |
|
3,303 |
3,293 |
$0.00 |
| 90633 |
|
3,130 |
3,116 |
$0.00 |
| 90670 |
|
5,353 |
5,318 |
$0.00 |
| 90734 |
|
1,203 |
1,197 |
$0.00 |
| 91300 |
|
24 |
22 |
$0.00 |
| 90700 |
|
1,964 |
1,952 |
$0.00 |
| 90713 |
|
994 |
989 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
276 |
276 |
$0.00 |
| 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) |
131 |
127 |
$0.00 |
| 90648 |
|
87 |
86 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
189 |
189 |
$0.00 |
| 90651 |
|
2,350 |
2,342 |
$0.00 |
| 90697 |
|
1,324 |
1,319 |
$0.00 |
| 90698 |
|
3,608 |
3,586 |
$0.00 |
| 90716 |
|
3,337 |
3,325 |
$0.00 |
| 90680 |
|
3,919 |
3,895 |
$0.00 |
| 90696 |
|
526 |
525 |
$0.00 |
| 90686 |
|
1,751 |
1,740 |
$0.00 |
| 94760 |
|
79 |
67 |
$0.00 |
| 91307 |
|
261 |
238 |
$0.00 |