| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,274 |
28,767 |
$2.89M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,169 |
10,572 |
$1.50M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,394 |
15,775 |
$542K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,364 |
5,252 |
$538K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,540 |
4,447 |
$462K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,328 |
4,245 |
$459K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,315 |
3,210 |
$317K |
| 99188 |
|
5,442 |
5,327 |
$137K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
11,577 |
10,688 |
$136K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,955 |
11,339 |
$71K |
| 99215 |
Prolong outpt/office vis |
371 |
353 |
$64K |
| 94060 |
|
3,495 |
3,430 |
$48K |
| 90680 |
|
1,470 |
1,432 |
$36K |
| 99383 |
|
234 |
229 |
$27K |
| 90744 |
|
1,043 |
1,001 |
$22K |
| 90700 |
|
3,021 |
2,905 |
$22K |
| 99381 |
|
245 |
218 |
$22K |
| 92552 |
|
1,405 |
1,378 |
$20K |
| 90677 |
|
416 |
402 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
175 |
165 |
$18K |
| 99384 |
|
132 |
130 |
$16K |
| 94010 |
|
1,611 |
1,592 |
$14K |
| 90686 |
|
2,958 |
2,872 |
$10K |
| 0072A |
|
292 |
278 |
$9K |
| H0049 |
Alcohol and/or drug screening |
391 |
388 |
$9K |
| 92567 |
|
986 |
966 |
$8K |
| 90651 |
|
1,629 |
1,603 |
$8K |
| 90715 |
|
422 |
412 |
$8K |
| 0071A |
|
281 |
254 |
$8K |
| 91300 |
|
884 |
832 |
$6K |
| 92587 |
|
768 |
603 |
$6K |
| 0002A |
|
249 |
246 |
$6K |
| 0004A |
|
232 |
220 |
$6K |
| 2015F |
|
1,632 |
1,582 |
$6K |
| 90734 |
|
404 |
396 |
$6K |
| 90660 |
|
277 |
271 |
$5K |
| 90620 |
|
1,039 |
1,016 |
$5K |
| 90619 |
|
616 |
603 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
850 |
828 |
$5K |
| 90648 |
|
2,231 |
2,153 |
$4K |
| 0001A |
|
268 |
263 |
$4K |
| 99382 |
|
33 |
33 |
$4K |
| 90716 |
|
1,046 |
1,006 |
$3K |
| 0124A |
|
194 |
153 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
803 |
668 |
$2K |
| 0154A |
|
119 |
89 |
$2K |
| 90633 |
|
1,297 |
1,249 |
$2K |
| 0074A |
|
66 |
43 |
$2K |
| 96127 |
|
398 |
392 |
$1K |
| 90685 |
|
218 |
210 |
$900.65 |
| 90707 |
|
1,023 |
984 |
$855.76 |
| 90672 |
|
1,461 |
1,436 |
$811.25 |
| 90713 |
|
2,369 |
2,291 |
$800.83 |
| 90670 |
|
1,800 |
1,743 |
$686.04 |
| 81002 |
|
273 |
253 |
$252.52 |
| 90674 |
|
105 |
99 |
$186.27 |
| 90687 |
|
427 |
399 |
$168.07 |
| 94664 |
|
55 |
51 |
$164.35 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
18 |
17 |
$72.98 |
| 90656 |
|
375 |
369 |
$47.20 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,164 |
2,108 |
$30.00 |
| 91307 |
|
784 |
699 |
$0.36 |
| 91315 |
|
101 |
74 |
$0.00 |
| 36416 |
|
15 |
15 |
$0.00 |
| 91312 |
|
190 |
148 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 0580F |
|
219 |
218 |
$0.00 |
| 91308 |
|
64 |
26 |
$0.00 |
| 2014F |
|
14 |
14 |
$0.00 |