| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,873 |
10,273 |
$950K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,529 |
4,911 |
$633K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,666 |
4,245 |
$224K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,617 |
1,447 |
$218K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,566 |
1,522 |
$211K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
669 |
649 |
$80K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,312 |
3,564 |
$71K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
418 |
404 |
$54K |
| 97803 |
|
3,929 |
3,690 |
$36K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,150 |
1,087 |
$31K |
| 90461 |
|
2,072 |
1,940 |
$26K |
| 97802 |
|
1,218 |
1,104 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,160 |
1,105 |
$11K |
| 96160 |
|
1,079 |
980 |
$6K |
| 92558 |
|
1,236 |
1,159 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
869 |
837 |
$4K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
602 |
518 |
$3K |
| 99401 |
|
498 |
449 |
$3K |
| 90670 |
|
986 |
936 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
80 |
58 |
$2K |
| 99381 |
|
14 |
14 |
$1K |
| 90698 |
|
550 |
521 |
$1K |
| 99051 |
|
236 |
224 |
$711.60 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
354 |
343 |
$533.58 |
| 92567 |
|
77 |
72 |
$516.77 |
| 36415 |
Collection of venous blood by venipuncture |
106 |
105 |
$480.00 |
| 83655 |
|
64 |
62 |
$347.00 |
| 0001A |
|
19 |
18 |
$330.00 |
| 96127 |
|
549 |
488 |
$302.12 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
569 |
522 |
$290.39 |
| 90686 |
|
450 |
428 |
$193.51 |
| 87807 |
|
31 |
29 |
$153.15 |
| 1111F |
|
189 |
160 |
$130.73 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
24 |
$112.07 |
| 85018 |
|
101 |
99 |
$103.35 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
26 |
$91.44 |
| 96161 |
|
233 |
216 |
$71.24 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,034 |
884 |
$25.00 |
| 90744 |
|
257 |
241 |
$20.00 |
| 99177 |
|
2,434 |
1,989 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,825 |
1,573 |
$0.00 |
| 90633 |
|
219 |
210 |
$0.00 |
| 91300 |
|
45 |
42 |
$0.00 |
| 90671 |
|
46 |
40 |
$0.00 |
| 90685 |
|
102 |
101 |
$0.00 |
| 99173 |
|
267 |
203 |
$0.00 |
| 94664 |
|
32 |
31 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90680 |
|
657 |
620 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,866 |
1,590 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
3,281 |
2,721 |
$0.00 |
| 90697 |
|
54 |
52 |
$0.00 |
| 36416 |
|
102 |
88 |
$0.00 |
| 90656 |
|
16 |
16 |
$0.00 |
| 90651 |
|
27 |
27 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |