| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,239 |
12,428 |
$709K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,320 |
3,070 |
$262K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,935 |
4,115 |
$244K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,983 |
2,822 |
$230K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,708 |
2,482 |
$197K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,077 |
1,966 |
$162K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,008 |
934 |
$87K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,679 |
2,498 |
$62K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,415 |
1,568 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,236 |
2,868 |
$36K |
| 99460 |
|
509 |
453 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,914 |
1,723 |
$29K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
488 |
442 |
$26K |
| 96127 |
|
5,469 |
4,905 |
$25K |
| 96161 |
|
1,956 |
1,680 |
$25K |
| 99381 |
|
351 |
296 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
708 |
652 |
$22K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
446 |
433 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
913 |
828 |
$16K |
| 99383 |
|
150 |
132 |
$11K |
| 92552 |
|
458 |
417 |
$9K |
| 83655 |
|
464 |
403 |
$5K |
| 99463 |
|
69 |
58 |
$5K |
| 99384 |
|
47 |
45 |
$4K |
| 99462 |
|
137 |
96 |
$4K |
| 99382 |
|
47 |
46 |
$3K |
| 85018 |
|
1,345 |
1,192 |
$3K |
| 90670 |
|
2,252 |
2,020 |
$3K |
| 90474 |
|
222 |
214 |
$2K |
| 36416 |
|
1,542 |
1,264 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
18 |
$2K |
| 90461 |
|
3,139 |
2,765 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
35 |
$2K |
| 90651 |
|
191 |
163 |
$900.00 |
| 87807 |
|
85 |
84 |
$843.34 |
| 90716 |
|
715 |
635 |
$815.33 |
| 90707 |
|
711 |
632 |
$725.71 |
| 99173 |
|
120 |
101 |
$690.18 |
| 80061 |
Lipid panel |
39 |
37 |
$685.83 |
| 90734 |
|
241 |
208 |
$580.17 |
| 90648 |
|
2,274 |
2,047 |
$290.70 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
13 |
$243.83 |
| 90633 |
|
724 |
663 |
$211.75 |
| 90696 |
|
204 |
181 |
$149.10 |
| 90715 |
|
57 |
48 |
$115.66 |
| 90680 |
|
1,097 |
986 |
$98.82 |
| 90723 |
|
1,460 |
1,303 |
$97.97 |
| 90686 |
|
496 |
440 |
$72.18 |
| 81003 |
|
27 |
24 |
$54.62 |
| 90685 |
|
115 |
107 |
$49.56 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,134 |
1,053 |
$0.00 |
| 90688 |
|
38 |
36 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
81 |
74 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
275 |
249 |
$0.00 |
| 90700 |
|
203 |
184 |
$0.00 |
| 90710 |
|
130 |
116 |
$0.00 |
| 90655 |
|
21 |
19 |
$0.00 |