| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,923 |
7,145 |
$552K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,301 |
7,571 |
$373K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,734 |
2,693 |
$263K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,365 |
2,330 |
$244K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,074 |
2,046 |
$201K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,705 |
1,666 |
$166K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,823 |
1,737 |
$62K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,272 |
5,132 |
$41K |
| 99173 |
|
5,853 |
5,758 |
$33K |
| 99188 |
|
1,348 |
1,332 |
$30K |
| 92551 |
|
5,528 |
5,440 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
509 |
498 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
742 |
693 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,165 |
1,136 |
$10K |
| 90686 |
|
1,522 |
1,281 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
381 |
288 |
$8K |
| 83655 |
|
1,265 |
1,233 |
$8K |
| 99177 |
|
1,135 |
1,120 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
156 |
151 |
$6K |
| 90633 |
|
840 |
769 |
$5K |
| 90651 |
|
522 |
501 |
$5K |
| 99215 |
Prolong outpt/office vis |
43 |
40 |
$4K |
| 90680 |
|
740 |
700 |
$4K |
| 96161 |
|
872 |
856 |
$4K |
| 90670 |
|
704 |
621 |
$4K |
| 99401 |
|
274 |
270 |
$4K |
| 90698 |
|
434 |
345 |
$4K |
| 90677 |
|
280 |
276 |
$3K |
| 0002A |
|
83 |
83 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
27 |
$3K |
| 90697 |
|
605 |
603 |
$3K |
| 0071A |
|
60 |
60 |
$2K |
| 92558 |
|
328 |
317 |
$2K |
| 96127 |
|
2,301 |
2,252 |
$2K |
| 0001A |
|
83 |
83 |
$2K |
| 0072A |
|
43 |
43 |
$2K |
| 90619 |
|
400 |
399 |
$2K |
| 90672 |
|
243 |
201 |
$2K |
| 90661 |
|
186 |
186 |
$1K |
| 90734 |
|
166 |
132 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
12 |
$1K |
| 90744 |
|
130 |
104 |
$1K |
| 85018 |
|
431 |
418 |
$984.58 |
| 90715 |
|
134 |
133 |
$950.00 |
| 90710 |
|
85 |
84 |
$750.00 |
| 81002 |
|
174 |
169 |
$745.51 |
| 96160 |
|
2,320 |
2,276 |
$736.91 |
| 90461 |
|
13 |
13 |
$659.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
63 |
61 |
$428.75 |
| 80061 |
Lipid panel |
703 |
690 |
$216.04 |
| 90696 |
|
60 |
60 |
$162.50 |
| 90707 |
|
32 |
25 |
$150.00 |
| 99072 |
|
85 |
82 |
$103.25 |
| 91300 |
|
301 |
224 |
$0.96 |
| G9920 |
Screening performed and negative |
220 |
218 |
$0.01 |
| 90620 |
|
33 |
33 |
$0.00 |
| 91307 |
|
127 |
124 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90671 |
|
306 |
306 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
13 |
13 |
$0.00 |