| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,586 |
6,634 |
$161K |
| 96156 |
|
2,826 |
2,699 |
$155K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,834 |
2,605 |
$130K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,359 |
1,243 |
$44K |
| G9920 |
Screening performed and negative |
2,147 |
2,031 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,074 |
1,024 |
$40K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,685 |
2,537 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,479 |
1,387 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
605 |
573 |
$25K |
| 92551 |
|
1,705 |
1,596 |
$19K |
| 96151 |
|
947 |
886 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
155 |
153 |
$11K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
25 |
25 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
185 |
178 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
582 |
572 |
$7K |
| 90686 |
|
848 |
836 |
$7K |
| 92552 |
|
601 |
573 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,020 |
945 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
245 |
241 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
75 |
75 |
$3K |
| 92081 |
|
77 |
57 |
$2K |
| 99406 |
|
315 |
307 |
$2K |
| 90685 |
|
70 |
52 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
146 |
136 |
$1K |
| 90670 |
|
114 |
113 |
$1K |
| 90680 |
|
49 |
49 |
$475.60 |
| 86318 |
|
108 |
100 |
$367.40 |
| 99173 |
|
60 |
59 |
$332.80 |
| 96150 |
|
14 |
13 |
$325.64 |
| 90698 |
|
27 |
27 |
$253.00 |
| 90700 |
|
34 |
34 |
$225.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
13 |
$185.66 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$177.00 |
| 90633 |
|
28 |
26 |
$140.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
54 |
54 |
$137.36 |
| 90710 |
|
13 |
13 |
$117.00 |
| 90748 |
|
20 |
20 |
$99.00 |
| 90651 |
|
12 |
12 |
$90.00 |
| 90713 |
|
13 |
13 |
$81.00 |
| 86580 |
|
21 |
21 |
$79.11 |
| 90648 |
|
12 |
12 |
$63.00 |
| 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 |
571 |
570 |
$18.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
278 |
277 |
$18.00 |
| 3008F |
|
620 |
618 |
$18.00 |
| 96160 |
|
531 |
529 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
187 |
187 |
$0.00 |
| 99401 |
|
156 |
155 |
$0.00 |
| 99442 |
|
87 |
77 |
$0.00 |
| 99408 |
|
27 |
27 |
$0.00 |
| 97802 |
|
153 |
152 |
$0.00 |
| 99172 |
|
34 |
33 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
156 |
155 |
$0.00 |
| 90657 |
|
14 |
14 |
$0.00 |
| 99441 |
|
19 |
18 |
$0.00 |