| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,317 |
9,989 |
$656K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,458 |
5,855 |
$585K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,364 |
2,293 |
$283K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,462 |
1,437 |
$188K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,450 |
1,358 |
$157K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,402 |
6,022 |
$123K |
| 87428 |
|
887 |
806 |
$96K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
617 |
602 |
$80K |
| 92552 |
|
4,154 |
3,978 |
$53K |
| 90461 |
|
3,146 |
2,949 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,357 |
7,926 |
$30K |
| 99383 |
|
238 |
230 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
531 |
454 |
$19K |
| 97802 |
|
3,872 |
3,696 |
$19K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,529 |
3,392 |
$9K |
| 99215 |
Prolong outpt/office vis |
50 |
50 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
175 |
161 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
724 |
686 |
$6K |
| 83655 |
|
1,047 |
1,012 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
233 |
226 |
$5K |
| 99381 |
|
47 |
40 |
$4K |
| 99051 |
|
725 |
686 |
$4K |
| 90670 |
|
478 |
456 |
$3K |
| 99384 |
|
54 |
54 |
$3K |
| 90716 |
|
297 |
282 |
$3K |
| 81002 |
|
1,475 |
1,363 |
$2K |
| 99382 |
|
27 |
26 |
$2K |
| 99058 |
|
4,150 |
3,737 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,665 |
1,594 |
$2K |
| 85018 |
|
1,236 |
1,188 |
$1K |
| 99050 |
|
562 |
477 |
$991.42 |
| 96127 |
|
2,312 |
2,177 |
$665.16 |
| 87807 |
|
139 |
126 |
$650.02 |
| 90686 |
|
1,016 |
974 |
$611.28 |
| 90707 |
|
227 |
216 |
$430.96 |
| 90651 |
|
257 |
231 |
$313.60 |
| 90633 |
|
290 |
270 |
$293.69 |
| S9451 |
Exercise classes, non-physician provider, per session |
3,052 |
2,887 |
$252.39 |
| 90620 |
|
653 |
620 |
$188.52 |
| 96161 |
|
141 |
131 |
$110.85 |
| 96160 |
|
264 |
238 |
$96.90 |
| 90681 |
|
107 |
98 |
$75.00 |
| 99173 |
|
2,307 |
2,219 |
$29.56 |
| 90647 |
|
383 |
348 |
$27.25 |
| 94760 |
|
19 |
18 |
$19.20 |
| D0145 |
Oral evaluation for a patient under three years of age |
13 |
12 |
$0.00 |
| 90671 |
|
383 |
316 |
$0.00 |
| 90734 |
|
137 |
131 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
111 |
95 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
42 |
40 |
$0.00 |
| 90715 |
|
76 |
68 |
$0.00 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment |
17 |
16 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
17 |
16 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 90723 |
|
446 |
402 |
$0.00 |
| 36416 |
|
1,285 |
1,235 |
$0.00 |
| D1310 |
|
170 |
158 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,306 |
1,251 |
$0.00 |
| 99422 |
|
12 |
12 |
$0.00 |
| D1330 |
|
69 |
64 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
48 |
46 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
29 |
25 |
$0.00 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
15 |
14 |
$0.00 |