| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,218 |
34,936 |
$2.48M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,076 |
15,724 |
$1.48M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,080 |
6,954 |
$594K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,763 |
7,008 |
$538K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,029 |
5,964 |
$513K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,407 |
13,845 |
$315K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,446 |
3,397 |
$283K |
| 99381 |
|
1,704 |
1,669 |
$147K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,668 |
9,505 |
$103K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,994 |
7,556 |
$103K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,022 |
1,016 |
$71K |
| 92587 |
|
5,097 |
4,972 |
$60K |
| 99401 |
|
12,471 |
12,267 |
$48K |
| 92550 |
|
3,753 |
3,246 |
$46K |
| 17110 |
|
693 |
540 |
$45K |
| D0190 |
|
6,911 |
6,798 |
$41K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,220 |
1,202 |
$36K |
| 83655 |
|
2,484 |
2,420 |
$34K |
| 99188 |
|
4,650 |
4,573 |
$32K |
| 99383 |
|
351 |
345 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,489 |
1,386 |
$31K |
| 96127 |
|
9,751 |
9,430 |
$26K |
| 99382 |
|
258 |
247 |
$23K |
| 97803 |
|
10,433 |
10,280 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
181 |
176 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
223 |
221 |
$19K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
216 |
214 |
$18K |
| 36416 |
|
2,305 |
2,244 |
$18K |
| 99051 |
|
3,142 |
2,969 |
$13K |
| 99000 |
|
1,201 |
1,157 |
$12K |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
3,137 |
3,043 |
$7K |
| 69200 |
|
159 |
156 |
$7K |
| 81002 |
|
2,369 |
2,139 |
$6K |
| 85018 |
|
2,819 |
2,757 |
$6K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,106 |
2,037 |
$5K |
| 87110 |
|
1,159 |
1,121 |
$5K |
| 97802 |
|
1,834 |
1,782 |
$5K |
| 81025 |
|
707 |
679 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
694 |
667 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
188 |
181 |
$4K |
| 99406 |
|
490 |
472 |
$3K |
| 87807 |
|
361 |
350 |
$3K |
| 0071A |
|
69 |
68 |
$3K |
| 0001A |
|
64 |
64 |
$2K |
| 99384 |
|
26 |
25 |
$2K |
| 0072A |
|
62 |
62 |
$2K |
| 54450 |
|
48 |
48 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,165 |
3,069 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$2K |
| 99177 |
|
1,171 |
1,164 |
$2K |
| 0002A |
|
32 |
32 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
112 |
105 |
$1K |
| 92552 |
|
34 |
34 |
$802.44 |
| 69209 |
|
76 |
75 |
$707.49 |
| 74019 |
|
12 |
12 |
$283.03 |
| 99072 |
|
3,634 |
3,172 |
$280.00 |
| 90671 |
|
1,087 |
1,075 |
$250.43 |
| 93000 |
|
27 |
27 |
$242.54 |
| 90620 |
|
71 |
71 |
$180.20 |
| 90461 |
|
6,859 |
6,621 |
$126.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$85.54 |
| 90686 |
|
3,215 |
3,066 |
$59.67 |
| 90687 |
|
205 |
205 |
$9.40 |
| 99173 |
|
11,634 |
11,394 |
$4.20 |
| 90651 |
|
1,254 |
1,232 |
$0.07 |
| 90621 |
|
45 |
43 |
$0.04 |
| 90716 |
|
1,233 |
1,200 |
$0.01 |
| 90619 |
|
375 |
374 |
$0.01 |
| 90707 |
|
1,226 |
1,192 |
$0.01 |
| 90715 |
|
606 |
595 |
$0.01 |
| 90680 |
|
2,961 |
2,834 |
$0.00 |
| 90697 |
|
1,301 |
1,249 |
$0.00 |
| 90696 |
|
988 |
971 |
$0.00 |
| 94760 |
|
13,860 |
12,684 |
$0.00 |
| 90744 |
|
1,396 |
1,326 |
$0.00 |
| 90698 |
|
2,084 |
2,002 |
$0.00 |
| 91307 |
|
77 |
69 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,493 |
1,454 |
$0.00 |
| 90723 |
|
127 |
125 |
$0.00 |
| 90734 |
|
922 |
905 |
$0.00 |
| 90670 |
|
3,663 |
3,523 |
$0.00 |
| 90700 |
|
1,161 |
1,145 |
$0.00 |
| 90710 |
|
1,014 |
996 |
$0.00 |
| 90633 |
|
2,768 |
2,707 |
$0.00 |
| 90648 |
|
856 |
841 |
$0.00 |
| 91300 |
|
82 |
68 |
$0.00 |
| 90685 |
|
75 |
63 |
$0.00 |
| 90713 |
|
15 |
14 |
$0.00 |