| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,321 |
3,728 |
$159K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,451 |
2,040 |
$126K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
871 |
831 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
863 |
815 |
$68K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,765 |
2,382 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
325 |
318 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
388 |
350 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,102 |
1,815 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
868 |
799 |
$12K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
639 |
565 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
522 |
229 |
$7K |
| 90461 |
|
1,059 |
868 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
305 |
295 |
$5K |
| 92551 |
|
1,417 |
1,366 |
$2K |
| 99215 |
Prolong outpt/office vis |
21 |
18 |
$2K |
| 90674 |
|
563 |
555 |
$1K |
| 99001 |
|
517 |
462 |
$690.12 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
15 |
$666.24 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
18 |
$475.56 |
| A7002 |
Tubing, used with suction pump, each |
290 |
243 |
$379.75 |
| A7015 |
Aerosol mask, used with dme nebulizer |
290 |
243 |
$179.90 |
| 90686 |
|
728 |
651 |
$1.07 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
290 |
243 |
$1.03 |
| 90677 |
|
14 |
14 |
$0.05 |
| 90734 |
|
29 |
28 |
$0.01 |
| 90671 |
|
12 |
12 |
$0.01 |
| 90670 |
|
215 |
208 |
$0.00 |
| 99173 |
|
1,260 |
1,192 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
885 |
824 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
838 |
773 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
903 |
707 |
$0.00 |
| 90633 |
|
50 |
49 |
$0.00 |
| 96160 |
|
254 |
241 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,233 |
993 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
172 |
141 |
$0.00 |
| 90707 |
|
40 |
39 |
$0.00 |
| 90700 |
|
20 |
12 |
$0.00 |
| 90648 |
|
20 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
86 |
84 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
151 |
133 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
730 |
687 |
$0.00 |
| 90651 |
|
32 |
30 |
$0.00 |
| 90680 |
|
94 |
90 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
341 |
299 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
772 |
709 |
$0.00 |
| 97802 |
|
841 |
775 |
$0.00 |
| 90716 |
|
59 |
58 |
$0.00 |
| 94760 |
|
200 |
173 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 90744 |
|
15 |
14 |
$0.00 |