| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,797 |
3,244 |
$208K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,651 |
1,723 |
$175K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,493 |
1,719 |
$155K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,018 |
1,475 |
$130K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,923 |
1,188 |
$123K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,884 |
3,412 |
$116K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,635 |
676 |
$76K |
| 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 |
2,947 |
2,570 |
$34K |
| 97802 |
|
1,707 |
1,362 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
731 |
274 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,149 |
1,146 |
$10K |
| 90461 |
|
325 |
322 |
$9K |
| 97804 |
|
1,287 |
1,264 |
$5K |
| H0049 |
Alcohol and/or drug screening |
310 |
303 |
$4K |
| 99188 |
|
164 |
162 |
$4K |
| 90707 |
|
1,007 |
500 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,390 |
114 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
65 |
60 |
$1K |
| 90700 |
|
1,344 |
567 |
$1K |
| 96127 |
|
509 |
501 |
$765.10 |
| S9452 |
Nutrition classes, non-physician provider, per session |
78 |
75 |
$615.68 |
| 90734 |
|
729 |
416 |
$502.02 |
| 90658 |
|
593 |
446 |
$486.76 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
222 |
47 |
$307.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,883 |
867 |
$260.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,098 |
499 |
$230.00 |
| 90649 |
|
682 |
443 |
$183.09 |
| 96160 |
|
66 |
58 |
$130.44 |
| 90670 |
|
1,532 |
782 |
$109.01 |
| 90716 |
|
998 |
486 |
$74.01 |
| 99173 |
|
1,110 |
859 |
$38.94 |
| 90715 |
|
114 |
113 |
$34.01 |
| 1159F |
|
694 |
689 |
$25.00 |
| 90633 |
|
692 |
361 |
$20.00 |
| 90620 |
|
139 |
138 |
$10.00 |
| 90657 |
|
43 |
43 |
$9.00 |
| 90713 |
|
797 |
251 |
$0.00 |
| 90648 |
|
745 |
241 |
$0.00 |
| 90671 |
|
171 |
169 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
251 |
221 |
$0.00 |
| 90744 |
|
660 |
335 |
$0.00 |
| 90698 |
|
349 |
272 |
$0.00 |
| 90680 |
|
689 |
230 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
689 |
682 |
$0.00 |
| 90651 |
|
34 |
34 |
$0.00 |
| 90696 |
|
43 |
43 |
$0.00 |
| 1111F |
|
15 |
15 |
$0.00 |
| 99174 |
|
14 |
14 |
$0.00 |