| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,089 |
9,293 |
$590K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,422 |
7,462 |
$337K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,534 |
2,393 |
$77K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
586 |
572 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
592 |
572 |
$32K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
541 |
506 |
$32K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
411 |
390 |
$26K |
| 96127 |
|
6,231 |
5,886 |
$23K |
| 94010 |
|
794 |
740 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
262 |
246 |
$15K |
| 99215 |
Prolong outpt/office vis |
168 |
154 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,364 |
1,255 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
623 |
594 |
$7K |
| 90686 |
|
806 |
774 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
142 |
130 |
$7K |
| 36416 |
|
3,309 |
3,158 |
$5K |
| 85018 |
|
2,443 |
2,334 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
183 |
182 |
$4K |
| 87428 |
|
103 |
100 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
592 |
575 |
$4K |
| 81003 |
|
2,367 |
2,207 |
$4K |
| 92552 |
|
331 |
323 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
47 |
$4K |
| 80305 |
|
312 |
288 |
$3K |
| 81002 |
|
1,195 |
1,135 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
210 |
201 |
$2K |
| 90715 |
|
98 |
92 |
$2K |
| 85014 |
|
1,120 |
1,023 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
54 |
54 |
$2K |
| 99173 |
|
755 |
726 |
$2K |
| 92551 |
|
190 |
161 |
$1K |
| 90656 |
|
120 |
115 |
$1K |
| 92567 |
|
82 |
75 |
$995.59 |
| 90688 |
|
126 |
123 |
$991.95 |
| 88738 |
|
161 |
151 |
$581.83 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$557.41 |
| 3074F |
|
2,811 |
2,580 |
$325.01 |
| 96161 |
|
91 |
75 |
$187.23 |
| 90620 |
|
27 |
24 |
$180.96 |
| 3078F |
|
1,650 |
1,531 |
$170.00 |
| 87807 |
|
15 |
14 |
$150.88 |
| 3075F |
|
455 |
432 |
$130.00 |
| 3079F |
|
1,796 |
1,657 |
$110.00 |
| 3077F |
|
186 |
171 |
$75.00 |
| 82044 |
|
13 |
13 |
$43.18 |
| 3044F |
|
26 |
24 |
$40.00 |
| 82570 |
|
12 |
12 |
$35.96 |
| 3080F |
|
110 |
102 |
$30.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$28.50 |
| 1220F |
|
1,584 |
1,507 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
37 |
37 |
$0.00 |
| 3008F |
|
5,717 |
5,161 |
$0.00 |
| 4010F |
|
12 |
12 |
$0.00 |
| 90651 |
|
26 |
26 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
18 |
14 |
$0.00 |
| 4000F |
|
12 |
12 |
$0.00 |
| 1125F |
|
64 |
62 |
$0.00 |
| 1036F |
|
16 |
16 |
$0.00 |
| 90733 |
|
15 |
14 |
$0.00 |
| 1160F |
|
2,624 |
2,468 |
$0.00 |
| 4004F |
|
350 |
333 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
122 |
121 |
$0.00 |
| 90670 |
|
37 |
37 |
$0.00 |
| 90648 |
|
73 |
73 |
$0.00 |
| 90734 |
|
54 |
54 |
$0.00 |
| 90633 |
|
24 |
24 |
$0.00 |
| 3085F |
|
63 |
62 |
$0.00 |
| 3023F |
|
13 |
13 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |