| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,812 |
13,003 |
$630K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,836 |
3,629 |
$213K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,212 |
2,206 |
$191K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,140 |
2,131 |
$191K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,736 |
6,939 |
$163K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,434 |
1,427 |
$115K |
| 99050 |
|
1,837 |
1,707 |
$86K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
804 |
764 |
$65K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,894 |
1,860 |
$49K |
| 87428 |
|
422 |
417 |
$31K |
| 90461 |
|
1,888 |
1,561 |
$27K |
| 90480 |
|
717 |
715 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
170 |
169 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
335 |
328 |
$12K |
| 0071A |
|
317 |
311 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,359 |
1,020 |
$12K |
| 0124A |
|
278 |
278 |
$11K |
| 0072A |
|
257 |
256 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
156 |
151 |
$7K |
| 0001A |
|
228 |
225 |
$6K |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
272 |
257 |
$6K |
| 0002A |
|
192 |
191 |
$6K |
| 0054A |
|
145 |
139 |
$5K |
| 0154A |
|
126 |
125 |
$5K |
| 0073A |
|
100 |
99 |
$4K |
| 99051 |
|
100 |
96 |
$3K |
| 0053A |
|
84 |
83 |
$3K |
| 0081A |
|
84 |
84 |
$3K |
| 99499 |
|
49 |
49 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
143 |
118 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
135 |
134 |
$2K |
| 0082A |
|
44 |
44 |
$2K |
| 0052A |
|
35 |
33 |
$1K |
| 0051A |
|
21 |
19 |
$760.00 |
| 0012A |
|
15 |
15 |
$600.00 |
| 96380 |
|
29 |
29 |
$568.22 |
| 0173A |
|
14 |
14 |
$520.00 |
| 96160 |
|
235 |
234 |
$511.98 |
| 0011A |
|
18 |
17 |
$500.00 |
| 99001 |
|
122 |
120 |
$402.30 |
| 0004A |
|
14 |
14 |
$400.00 |
| 99401 |
|
21 |
21 |
$236.61 |
| 90670 |
|
441 |
438 |
$230.14 |
| 90686 |
|
3,583 |
3,566 |
$173.28 |
| 96161 |
|
60 |
60 |
$154.53 |
| 90680 |
|
156 |
156 |
$83.35 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
36 |
34 |
$45.58 |
| 91300 |
|
370 |
356 |
$40.00 |
| 90648 |
|
280 |
279 |
$23.34 |
| 90688 |
|
70 |
70 |
$18.47 |
| 90734 |
|
405 |
403 |
$0.12 |
| 90685 |
|
449 |
445 |
$0.11 |
| 90707 |
|
340 |
336 |
$0.00 |
| 91322 |
|
284 |
282 |
$0.00 |
| 90633 |
|
332 |
330 |
$0.00 |
| 90671 |
|
44 |
43 |
$0.00 |
| 91308 |
|
210 |
203 |
$0.00 |
| H2010 |
Comprehensive medication services, per 15 minutes |
258 |
243 |
$0.00 |
| 91312 |
|
279 |
279 |
$0.00 |
| 90715 |
|
65 |
65 |
$0.00 |
| 91321 |
|
274 |
272 |
$0.00 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
1,374 |
1,371 |
$0.00 |
| 90716 |
|
352 |
348 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,379 |
1,377 |
$0.00 |
| 90651 |
|
620 |
619 |
$0.00 |
| 90619 |
|
271 |
271 |
$0.00 |
| 90696 |
|
56 |
56 |
$0.00 |
| 91305 |
|
350 |
335 |
$0.00 |
| 91318 |
|
16 |
16 |
$0.00 |
| 91307 |
|
735 |
692 |
$0.00 |
| 90723 |
|
145 |
144 |
$0.00 |
| 91301 |
|
35 |
34 |
$0.00 |
| 90677 |
|
149 |
149 |
$0.00 |
| 91319 |
|
67 |
67 |
$0.00 |
| 90697 |
|
38 |
38 |
$0.00 |
| 91315 |
|
126 |
125 |
$0.00 |
| 90647 |
|
100 |
99 |
$0.00 |
| 91317 |
|
14 |
14 |
$0.00 |
| 90656 |
|
507 |
504 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |