| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,161 |
13,863 |
$549K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,624 |
8,954 |
$493K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,036 |
2,984 |
$257K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,740 |
2,674 |
$216K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,574 |
7,847 |
$175K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,797 |
1,778 |
$166K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,989 |
1,826 |
$146K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,428 |
7,043 |
$99K |
| 87428 |
|
2,343 |
2,228 |
$83K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,792 |
1,693 |
$79K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,125 |
2,043 |
$56K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
954 |
917 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,043 |
1,007 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,216 |
1,601 |
$19K |
| 90461 |
|
3,494 |
2,877 |
$18K |
| 87807 |
|
1,136 |
1,073 |
$12K |
| 92552 |
|
2,970 |
2,935 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
156 |
150 |
$9K |
| 97802 |
|
1,009 |
992 |
$4K |
| 99381 |
|
47 |
38 |
$3K |
| 96160 |
|
1,374 |
1,369 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
106 |
99 |
$2K |
| 90651 |
|
630 |
615 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
358 |
358 |
$1K |
| 90621 |
|
196 |
192 |
$841.63 |
| 81002 |
|
234 |
224 |
$703.53 |
| 90670 |
|
1,185 |
1,148 |
$460.92 |
| 69210 |
|
15 |
14 |
$377.98 |
| 90734 |
|
416 |
414 |
$330.52 |
| 90688 |
|
2,183 |
2,145 |
$234.64 |
| 90715 |
|
255 |
252 |
$34.86 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
142 |
140 |
$0.63 |
| 90697 |
|
447 |
443 |
$0.59 |
| 90671 |
|
98 |
98 |
$0.30 |
| 90677 |
|
91 |
86 |
$0.24 |
| 90619 |
|
86 |
80 |
$0.24 |
| 90658 |
|
121 |
120 |
$0.03 |
| 90686 |
|
183 |
182 |
$0.01 |
| 90680 |
|
779 |
749 |
$0.01 |
| 90633 |
|
576 |
563 |
$0.01 |
| 90696 |
|
237 |
232 |
$0.00 |
| 90723 |
|
235 |
228 |
$0.00 |
| 90716 |
|
180 |
175 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
788 |
780 |
$0.00 |
| 90656 |
|
176 |
176 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |
| 90698 |
|
95 |
90 |
$0.00 |
| 3751F |
|
277 |
277 |
$0.00 |
| 90707 |
|
170 |
166 |
$0.00 |
| 1033F |
|
837 |
829 |
$0.00 |
| 90648 |
|
494 |
482 |
$0.00 |
| 90700 |
|
132 |
130 |
$0.00 |
| 90710 |
|
236 |
232 |
$0.00 |