| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,821 |
18,465 |
$2.68M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,811 |
22,885 |
$2.14M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,541 |
4,395 |
$643K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,355 |
9,806 |
$596K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,532 |
4,338 |
$585K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,890 |
3,700 |
$554K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,451 |
3,083 |
$489K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,007 |
11,667 |
$223K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
6,667 |
6,150 |
$104K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,670 |
3,376 |
$88K |
| 96160 |
|
5,115 |
3,603 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
301 |
297 |
$52K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
333 |
318 |
$46K |
| 97802 |
|
6,094 |
5,333 |
$34K |
| 99381 |
|
291 |
244 |
$30K |
| 90461 |
|
4,723 |
4,424 |
$25K |
| H0049 |
Alcohol and/or drug screening |
4,247 |
3,976 |
$24K |
| 92558 |
|
7,658 |
7,210 |
$20K |
| 97803 |
|
1,759 |
1,718 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,400 |
3,224 |
$19K |
| 99401 |
|
3,587 |
2,663 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
164 |
125 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
88 |
88 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,942 |
3,743 |
$10K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
3,195 |
2,364 |
$8K |
| 99051 |
|
2,746 |
2,371 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,109 |
1,058 |
$5K |
| 99384 |
|
15 |
15 |
$3K |
| 99383 |
|
14 |
13 |
$3K |
| 99406 |
|
1,532 |
1,345 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
822 |
748 |
$2K |
| 96127 |
|
3,566 |
3,136 |
$1K |
| 90707 |
|
1,396 |
1,346 |
$1K |
| 83655 |
|
173 |
171 |
$971.37 |
| 94010 |
|
273 |
265 |
$770.45 |
| 0001A |
|
128 |
109 |
$720.00 |
| 99050 |
|
201 |
183 |
$548.49 |
| 90686 |
|
4,384 |
4,202 |
$468.51 |
| 1111F |
|
2,133 |
1,960 |
$449.79 |
| 90716 |
|
1,469 |
1,418 |
$366.06 |
| 0071A |
|
24 |
24 |
$360.00 |
| 0002A |
|
99 |
97 |
$359.94 |
| 85018 |
|
305 |
302 |
$310.46 |
| 99188 |
|
42 |
41 |
$285.76 |
| S9451 |
Exercise classes, non-physician provider, per session |
6,842 |
5,565 |
$274.08 |
| 90700 |
|
3,286 |
3,112 |
$253.23 |
| 0072A |
|
18 |
18 |
$200.00 |
| 90715 |
|
405 |
392 |
$183.77 |
| 90651 |
|
1,569 |
1,489 |
$150.31 |
| 90633 |
|
1,586 |
1,542 |
$103.05 |
| 90713 |
|
2,599 |
2,476 |
$95.91 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
20 |
20 |
$81.12 |
| 92567 |
|
74 |
73 |
$80.26 |
| 90619 |
|
443 |
432 |
$80.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
19 |
18 |
$57.50 |
| 90473 |
|
14 |
14 |
$53.28 |
| 86328 |
|
23 |
20 |
$38.95 |
| 90656 |
|
424 |
420 |
$38.57 |
| 90620 |
|
1,107 |
1,054 |
$36.01 |
| 81002 |
|
12 |
12 |
$20.46 |
| 96161 |
|
49 |
37 |
$9.96 |
| 99177 |
|
3,036 |
2,470 |
$1.18 |
| 90698 |
|
120 |
117 |
$0.01 |
| 90648 |
|
2,447 |
2,306 |
$0.00 |
| 99173 |
|
5,769 |
4,682 |
$0.00 |
| 90734 |
|
873 |
817 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
15 |
15 |
$0.00 |
| 90670 |
|
2,245 |
2,103 |
$0.00 |
| 91300 |
|
97 |
80 |
$0.00 |
| 86318 |
|
13 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
20 |
20 |
$0.00 |
| 99354 |
|
13 |
12 |
$0.00 |
| 91307 |
|
50 |
43 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
9,665 |
8,290 |
$0.00 |
| 90744 |
|
1,394 |
1,325 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
272 |
224 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
745 |
584 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
529 |
467 |
$0.00 |
| 90677 |
|
466 |
461 |
$0.00 |
| 90680 |
|
1,889 |
1,798 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
678 |
576 |
$0.00 |
| 36416 |
|
298 |
284 |
$0.00 |