| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,793 |
6,262 |
$292K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,175 |
1,065 |
$85K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
620 |
583 |
$56K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,835 |
3,291 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
580 |
518 |
$50K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
898 |
884 |
$50K |
| 99460 |
|
610 |
603 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
366 |
337 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
313 |
308 |
$29K |
| 99215 |
Prolong outpt/office vis |
234 |
222 |
$13K |
| 90461 |
|
465 |
418 |
$10K |
| 90686 |
|
2,553 |
2,520 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
53 |
$6K |
| 90670 |
|
1,888 |
1,875 |
$6K |
| 90651 |
|
833 |
794 |
$5K |
| 90698 |
|
1,613 |
1,600 |
$5K |
| 90734 |
|
217 |
210 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
363 |
351 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
43 |
30 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
411 |
369 |
$4K |
| 90680 |
|
1,995 |
1,974 |
$4K |
| 90688 |
|
409 |
395 |
$3K |
| 90633 |
|
1,541 |
1,532 |
$3K |
| 87634 |
|
33 |
33 |
$3K |
| 90744 |
|
697 |
689 |
$2K |
| 90710 |
|
705 |
694 |
$738.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
12 |
$667.29 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
141 |
122 |
$612.12 |
| 92551 |
|
373 |
369 |
$604.28 |
| 90696 |
|
647 |
640 |
$576.00 |
| 90707 |
|
622 |
618 |
$574.00 |
| 90716 |
|
667 |
658 |
$574.00 |
| 90621 |
|
515 |
481 |
$570.37 |
| 99173 |
|
445 |
435 |
$567.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
12 |
$424.97 |
| 99462 |
|
17 |
12 |
$383.87 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
58 |
53 |
$321.00 |
| 83655 |
|
151 |
148 |
$250.20 |
| 96161 |
|
52 |
52 |
$67.31 |
| 96127 |
|
28 |
28 |
$66.86 |
| 85018 |
|
28 |
26 |
$50.55 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
16 |
$31.34 |
| 96160 |
|
28 |
28 |
$12.34 |
| 36416 |
|
31 |
27 |
$10.25 |
| 3078F |
|
1,605 |
1,534 |
$0.00 |
| 90715 |
|
325 |
321 |
$0.00 |
| G9920 |
Screening performed and negative |
51 |
51 |
$0.00 |
| 90658 |
|
55 |
54 |
$0.00 |
| 91320 |
|
33 |
32 |
$0.00 |
| 90380 |
|
27 |
27 |
$0.00 |
| 90672 |
|
15 |
15 |
$0.00 |
| 1111F |
|
3,995 |
3,751 |
$0.00 |
| 3008F |
|
861 |
832 |
$0.00 |
| 3074F |
|
1,838 |
1,760 |
$0.00 |
| 90677 |
|
1,094 |
1,074 |
$0.00 |
| 90697 |
|
1,147 |
1,130 |
$0.00 |
| 99000 |
|
184 |
159 |
$0.00 |
| 90656 |
|
623 |
621 |
$0.00 |
| 90619 |
|
701 |
693 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
12 |
12 |
$0.00 |
| 91318 |
|
46 |
44 |
$0.00 |
| 90381 |
|
32 |
32 |
$0.00 |
| 91319 |
|
14 |
14 |
$0.00 |
| 90660 |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
16 |
$0.00 |