| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,628 |
8,173 |
$239K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,120 |
2,038 |
$104K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,650 |
1,579 |
$90K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,214 |
1,185 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,743 |
1,646 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
680 |
678 |
$31K |
| 87428 |
|
1,332 |
1,285 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,605 |
3,456 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,725 |
1,628 |
$7K |
| 92558 |
|
3,085 |
3,007 |
$3K |
| 99381 |
|
38 |
38 |
$2K |
| 83655 |
|
336 |
323 |
$829.78 |
| 90686 |
|
808 |
784 |
$820.23 |
| 99215 |
Prolong outpt/office vis |
30 |
30 |
$818.10 |
| 90681 |
|
382 |
367 |
$475.00 |
| 85018 |
|
1,224 |
1,164 |
$455.37 |
| 90671 |
|
211 |
208 |
$286.20 |
| 90633 |
|
512 |
495 |
$275.01 |
| 36415 |
Collection of venous blood by venipuncture |
236 |
218 |
$264.00 |
| 90474 |
|
52 |
51 |
$260.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
84 |
72 |
$147.69 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
645 |
597 |
$109.51 |
| 96160 |
|
1,687 |
1,521 |
$42.06 |
| 99173 |
|
4,029 |
3,543 |
$33.57 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$7.73 |
| 99000 |
|
1,808 |
1,672 |
$2.36 |
| 90670 |
|
930 |
889 |
$0.35 |
| 90715 |
|
13 |
13 |
$0.10 |
| 90647 |
|
897 |
862 |
$0.01 |
| 90710 |
|
433 |
416 |
$0.01 |
| 36416 |
|
234 |
213 |
$0.00 |
| 90620 |
|
42 |
41 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
613 |
567 |
$0.00 |
| 90696 |
|
44 |
39 |
$0.00 |
| 1125F |
|
57 |
55 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,341 |
3,008 |
$0.00 |
| 90651 |
|
350 |
343 |
$0.00 |
| 3074F |
|
468 |
456 |
$0.00 |
| 1126F |
|
210 |
197 |
$0.00 |
| 90723 |
|
880 |
848 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
16 |
13 |
$0.00 |
| 87807 |
|
15 |
14 |
$0.00 |
| 1160F |
|
671 |
642 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
377 |
353 |
$0.00 |
| 90700 |
|
82 |
79 |
$0.00 |
| 3046F |
|
221 |
200 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
153 |
148 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
102 |
92 |
$0.00 |
| 90734 |
|
95 |
93 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |
| 81003 |
|
12 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
13 |
$0.00 |