| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,771 |
2,513 |
$124K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,774 |
2,229 |
$90K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,138 |
1,629 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
296 |
286 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
935 |
892 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
239 |
237 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
371 |
360 |
$16K |
| 99401 |
|
958 |
934 |
$13K |
| 83655 |
|
1,371 |
1,333 |
$12K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
538 |
535 |
$9K |
| 99402 |
|
502 |
498 |
$7K |
| H0001 |
Alcohol and/or drug assessment |
373 |
370 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
140 |
126 |
$7K |
| 36410 |
|
624 |
622 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
73 |
66 |
$3K |
| 99384 |
|
46 |
46 |
$3K |
| 92551 |
|
581 |
579 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
562 |
560 |
$2K |
| 99173 |
|
754 |
743 |
$1K |
| 99383 |
|
28 |
28 |
$940.15 |
| 80053 |
Comprehensive metabolic panel |
186 |
185 |
$628.76 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$526.32 |
| 80061 |
Lipid panel |
88 |
88 |
$462.40 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
217 |
216 |
$450.20 |
| 90658 |
|
61 |
59 |
$339.69 |
| 90473 |
|
32 |
32 |
$338.96 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$224.08 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
12 |
$207.83 |
| 90686 |
|
511 |
492 |
$120.18 |
| 82947 |
|
23 |
23 |
$94.40 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
19 |
15 |
$66.96 |
| 99072 |
|
1,636 |
1,073 |
$0.01 |
| 3008F |
|
533 |
527 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 3725F |
|
45 |
45 |
$0.00 |
| 3016F |
|
46 |
46 |
$0.00 |
| 97803 |
|
25 |
25 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90672 |
|
15 |
15 |
$0.00 |
| 1036F |
|
34 |
34 |
$0.00 |
| 97802 |
|
90 |
90 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
143 |
140 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
141 |
140 |
$0.00 |
| 1000F |
|
14 |
14 |
$0.00 |