| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,357 |
13,076 |
$1.34M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,026 |
3,918 |
$275K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,484 |
1,479 |
$180K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,322 |
1,320 |
$147K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,655 |
5,070 |
$115K |
| 92552 |
|
3,899 |
3,888 |
$106K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
786 |
783 |
$89K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,381 |
1,297 |
$34K |
| 86580 |
|
3,262 |
3,201 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
84 |
84 |
$9K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
590 |
579 |
$7K |
| 0072A |
|
131 |
131 |
$6K |
| 0124A |
|
116 |
116 |
$5K |
| 0071A |
|
110 |
110 |
$5K |
| 0002A |
|
94 |
94 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
30 |
$4K |
| 0003A |
|
88 |
88 |
$4K |
| 96127 |
|
691 |
679 |
$4K |
| 90686 |
|
2,644 |
2,639 |
$3K |
| 0001A |
|
74 |
74 |
$3K |
| 97802 |
|
3,892 |
3,883 |
$3K |
| 0073A |
|
64 |
64 |
$3K |
| 99173 |
|
3,878 |
3,869 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
3,914 |
3,877 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
63 |
57 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
148 |
145 |
$1K |
| 0054A |
|
23 |
23 |
$975.66 |
| 90473 |
|
66 |
66 |
$865.65 |
| 0154A |
|
16 |
16 |
$680.48 |
| 90672 |
|
64 |
64 |
$75.08 |
| 91307 |
|
348 |
317 |
$71.10 |
| 91312 |
|
116 |
116 |
$29.70 |
| 90744 |
|
30 |
30 |
$28.31 |
| 91300 |
|
266 |
263 |
$22.50 |
| 90715 |
|
28 |
28 |
$20.00 |
| 91305 |
|
24 |
24 |
$9.00 |
| 91315 |
|
16 |
16 |
$3.60 |
| 90651 |
|
260 |
260 |
$0.00 |
| 3008F |
|
168 |
168 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
366 |
360 |
$0.00 |
| 90619 |
|
60 |
60 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
62 |
62 |
$0.00 |
| 91301 |
|
66 |
63 |
$0.00 |
| 90461 |
|
207 |
191 |
$0.00 |
| 90734 |
|
103 |
103 |
$0.00 |
| 90621 |
|
13 |
13 |
$0.00 |