| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,532 |
17,231 |
$773K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,389 |
6,611 |
$376K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,863 |
2,914 |
$251K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,941 |
2,766 |
$214K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,917 |
2,130 |
$188K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,668 |
8,989 |
$173K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
11,249 |
5,019 |
$144K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,902 |
1,844 |
$138K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,891 |
2,621 |
$118K |
| 92550 |
|
3,456 |
3,158 |
$59K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,178 |
3,820 |
$54K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,967 |
2,138 |
$22K |
| 87807 |
|
1,779 |
1,617 |
$18K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,163 |
1,964 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,583 |
1,376 |
$16K |
| 90461 |
|
3,446 |
2,895 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
246 |
197 |
$14K |
| 99374 |
|
241 |
235 |
$13K |
| 97169 |
|
802 |
751 |
$10K |
| 90619 |
|
365 |
363 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
140 |
134 |
$8K |
| 90677 |
|
183 |
182 |
$5K |
| 99381 |
|
55 |
55 |
$4K |
| 96160 |
|
2,016 |
1,964 |
$4K |
| 90686 |
|
4,759 |
4,690 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
90 |
88 |
$2K |
| 86580 |
|
225 |
220 |
$2K |
| 81002 |
|
270 |
249 |
$753.36 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16 |
15 |
$619.32 |
| 80061 |
Lipid panel |
57 |
56 |
$461.25 |
| 90651 |
|
406 |
396 |
$288.53 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,586 |
6,346 |
$180.00 |
| 82950 |
|
58 |
57 |
$167.58 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
24 |
24 |
$165.02 |
| 90744 |
|
410 |
406 |
$0.00 |
| G0010 |
Administration of hepatitis b vaccine |
108 |
106 |
$0.00 |
| 90698 |
|
945 |
928 |
$0.00 |
| 90680 |
|
986 |
970 |
$0.00 |
| 90697 |
|
209 |
207 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
581 |
565 |
$0.00 |
| 90620 |
|
461 |
452 |
$0.00 |
| 90696 |
|
99 |
98 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90670 |
|
1,211 |
1,187 |
$0.00 |
| 90633 |
|
677 |
663 |
$0.00 |
| 90700 |
|
71 |
71 |
$0.00 |
| 90671 |
|
201 |
200 |
$0.00 |
| 90710 |
|
122 |
121 |
$0.00 |
| 90648 |
|
30 |
30 |
$0.00 |
| 90734 |
|
31 |
31 |
$0.00 |
| 90715 |
|
38 |
38 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
22 |
15 |
$0.00 |