| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,168 |
18,211 |
$1.33M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,451 |
3,437 |
$279K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,890 |
2,770 |
$259K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,923 |
2,832 |
$215K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,562 |
2,556 |
$204K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,798 |
9,575 |
$199K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,575 |
1,572 |
$141K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,586 |
3,487 |
$131K |
| 92587 |
|
3,033 |
3,020 |
$72K |
| 90461 |
|
2,450 |
2,443 |
$62K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,346 |
1,283 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,360 |
5,260 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,604 |
904 |
$18K |
| 99401 |
|
2,918 |
2,882 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,703 |
2,606 |
$14K |
| 99381 |
|
158 |
157 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
101 |
98 |
$9K |
| 99050 |
|
1,401 |
1,285 |
$9K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
70 |
69 |
$6K |
| 99460 |
|
69 |
68 |
$5K |
| 90677 |
|
26 |
25 |
$4K |
| 90670 |
|
1,539 |
1,536 |
$4K |
| 97803 |
|
721 |
719 |
$3K |
| 99496 |
|
44 |
44 |
$3K |
| 99173 |
|
4,101 |
4,088 |
$3K |
| 36406 |
|
377 |
363 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$2K |
| 90686 |
|
1,586 |
1,578 |
$2K |
| 88738 |
|
1,840 |
1,837 |
$2K |
| 36410 |
|
324 |
318 |
$1K |
| 99462 |
|
48 |
38 |
$1K |
| 99441 |
|
47 |
44 |
$1K |
| 90744 |
|
819 |
811 |
$1K |
| 90651 |
|
33 |
33 |
$978.85 |
| 90672 |
|
372 |
371 |
$727.70 |
| 99442 |
|
12 |
12 |
$690.06 |
| H0033 |
Oral medication administration, direct observation |
128 |
126 |
$684.16 |
| 36415 |
Collection of venous blood by venipuncture |
1,162 |
1,139 |
$620.01 |
| 99000 |
|
3,540 |
3,407 |
$610.34 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
29 |
$552.91 |
| 99174 |
|
815 |
813 |
$525.46 |
| 90734 |
|
228 |
227 |
$491.18 |
| 90633 |
|
577 |
577 |
$463.61 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
44 |
$422.15 |
| 90716 |
|
100 |
100 |
$373.44 |
| 94760 |
|
1,438 |
1,386 |
$373.18 |
| 90715 |
|
89 |
89 |
$364.50 |
| 90660 |
|
20 |
20 |
$353.04 |
| H0049 |
Alcohol and/or drug screening |
74 |
73 |
$332.50 |
| 90685 |
|
524 |
518 |
$252.54 |
| 96160 |
|
72 |
71 |
$156.33 |
| 90698 |
|
1,483 |
1,480 |
$126.17 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
52 |
51 |
$105.60 |
| 97802 |
|
29 |
29 |
$82.95 |
| S9451 |
Exercise classes, non-physician provider, per session |
24 |
24 |
$47.50 |
| 90707 |
|
116 |
116 |
$40.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,340 |
2,328 |
$27.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,008 |
1,007 |
$22.50 |
| 90680 |
|
873 |
870 |
$0.00 |
| 3008F |
|
2,005 |
1,993 |
$0.00 |
| 90696 |
|
132 |
131 |
$0.00 |
| 1160F |
|
2,866 |
2,521 |
$0.00 |
| 1159F |
|
2,843 |
2,504 |
$0.00 |
| 90710 |
|
114 |
113 |
$0.00 |