| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,197 |
21,852 |
$908K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,540 |
9,057 |
$569K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
10,358 |
5,796 |
$376K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,292 |
3,255 |
$353K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,902 |
2,865 |
$289K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,299 |
2,275 |
$234K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,197 |
4,920 |
$233K |
| 90791 |
Psychiatric diagnostic evaluation |
1,036 |
1,032 |
$211K |
| 96131 |
|
953 |
944 |
$144K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,415 |
4,334 |
$118K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
979 |
949 |
$96K |
| 96130 |
|
920 |
913 |
$53K |
| 92551 |
|
7,862 |
7,754 |
$41K |
| 90834 |
Psychotherapy, 45 minutes with patient |
664 |
411 |
$40K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
232 |
232 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,325 |
1,178 |
$33K |
| 99188 |
|
1,319 |
1,310 |
$29K |
| 99173 |
|
7,496 |
7,388 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,696 |
2,604 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
199 |
195 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,289 |
1,002 |
$7K |
| 90686 |
|
1,859 |
1,842 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
131 |
130 |
$4K |
| 96127 |
|
1,483 |
1,472 |
$4K |
| 96160 |
|
1,796 |
1,787 |
$4K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
204 |
75 |
$4K |
| 90698 |
|
1,003 |
1,001 |
$4K |
| 96161 |
|
1,339 |
1,327 |
$3K |
| 90670 |
|
916 |
913 |
$3K |
| 0071A |
|
52 |
52 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
114 |
106 |
$2K |
| 90744 |
|
305 |
301 |
$2K |
| 90461 |
|
28 |
28 |
$2K |
| 90680 |
|
944 |
929 |
$2K |
| 0072A |
|
33 |
33 |
$1K |
| 92002 |
|
31 |
31 |
$878.54 |
| 90716 |
|
209 |
207 |
$800.00 |
| 90633 |
|
571 |
563 |
$790.00 |
| 90707 |
|
207 |
205 |
$790.00 |
| 92015 |
Determination of refractive state |
164 |
163 |
$737.77 |
| 90651 |
|
176 |
175 |
$260.00 |
| 90696 |
|
134 |
133 |
$130.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
13 |
13 |
$130.00 |
| 85018 |
|
12 |
12 |
$23.50 |
| 83655 |
|
1,396 |
1,386 |
$12.08 |
| 3008F |
|
3,772 |
3,695 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
155 |
152 |
$0.00 |
| 90697 |
|
535 |
530 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
179 |
177 |
$0.00 |
| 90677 |
|
222 |
222 |
$0.00 |
| 90620 |
|
81 |
79 |
$0.00 |
| 90619 |
|
231 |
229 |
$0.00 |
| 90656 |
|
123 |
120 |
$0.00 |
| 91307 |
|
15 |
14 |
$0.00 |
| 90381 |
|
13 |
12 |
$0.00 |
| 90710 |
|
334 |
329 |
$0.00 |
| 90715 |
|
111 |
107 |
$0.00 |
| G9920 |
Screening performed and negative |
404 |
361 |
$0.00 |
| 90671 |
|
379 |
375 |
$0.00 |
| 98966 |
|
38 |
29 |
$0.00 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |