| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46,426 |
39,019 |
$338K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,396 |
5,179 |
$138K |
| G9920 |
Screening performed and negative |
7,862 |
7,772 |
$127K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,406 |
4,170 |
$125K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,175 |
4,935 |
$102K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,375 |
3,732 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,327 |
4,136 |
$39K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
18,862 |
17,792 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,717 |
2,569 |
$9K |
| 92551 |
|
12,447 |
11,917 |
$7K |
| 90619 |
|
488 |
488 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,500 |
1,333 |
$5K |
| 0071A |
|
164 |
164 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,097 |
1,078 |
$4K |
| 85018 |
|
9,919 |
9,299 |
$4K |
| 97803 |
|
12,356 |
11,929 |
$4K |
| 90686 |
|
6,719 |
6,417 |
$3K |
| 0072A |
|
77 |
77 |
$3K |
| 99383 |
|
207 |
207 |
$3K |
| 99188 |
|
2,659 |
2,642 |
$2K |
| D1206 |
Topical application of fluoride varnish |
1,439 |
1,134 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
446 |
443 |
$2K |
| 86580 |
|
3,930 |
3,728 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
4,567 |
4,559 |
$2K |
| 99173 |
|
12,442 |
11,919 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
105 |
104 |
$2K |
| 90698 |
|
3,073 |
2,987 |
$1K |
| 99384 |
|
109 |
109 |
$1K |
| 90670 |
|
2,727 |
2,633 |
$1K |
| 81000 |
|
7,647 |
7,106 |
$1K |
| 90707 |
|
2,197 |
2,113 |
$991.91 |
| 90633 |
|
2,132 |
2,053 |
$818.03 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,365 |
2,363 |
$769.48 |
| 90744 |
|
1,628 |
1,590 |
$761.12 |
| 90649 |
|
1,549 |
1,408 |
$756.43 |
| 97802 |
|
847 |
845 |
$688.95 |
| 99382 |
|
50 |
49 |
$640.55 |
| 0001A |
|
16 |
16 |
$640.00 |
| 83655 |
|
595 |
571 |
$604.40 |
| 90680 |
|
1,583 |
1,545 |
$533.02 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,951 |
1,933 |
$474.32 |
| 90685 |
|
926 |
881 |
$431.61 |
| 90716 |
|
2,346 |
2,261 |
$403.32 |
| 96127 |
|
708 |
689 |
$373.43 |
| 90651 |
|
608 |
575 |
$359.91 |
| 99381 |
|
87 |
86 |
$344.46 |
| 90715 |
|
1,156 |
1,111 |
$291.75 |
| H0049 |
Alcohol and/or drug screening |
3,801 |
3,532 |
$224.33 |
| 90734 |
|
1,228 |
1,147 |
$199.95 |
| 90696 |
|
714 |
692 |
$154.35 |
| 90621 |
|
408 |
367 |
$99.51 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
59 |
55 |
$82.76 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
31 |
$33.59 |
| 90713 |
|
12 |
12 |
$9.27 |
| 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 |
110 |
110 |
$0.00 |
| 3078F |
|
120 |
120 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28 |
28 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
45 |
45 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
62 |
62 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
147 |
147 |
$0.00 |
| 3008F |
|
114 |
114 |
$0.00 |
| 3074F |
|
119 |
119 |
$0.00 |
| 87110 |
|
12 |
12 |
$0.00 |