| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,372 |
10,647 |
$1.35M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,150 |
8,672 |
$707K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,939 |
3,892 |
$520K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,266 |
3,062 |
$399K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,835 |
2,802 |
$347K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,920 |
1,893 |
$258K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,430 |
3,279 |
$150K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,151 |
7,895 |
$132K |
| 97802 |
|
6,299 |
6,050 |
$76K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,552 |
2,502 |
$75K |
| 99215 |
Prolong outpt/office vis |
316 |
305 |
$50K |
| 90461 |
|
1,206 |
1,114 |
$33K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,166 |
1,105 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,829 |
2,517 |
$30K |
| 92552 |
|
1,850 |
1,812 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,868 |
2,754 |
$19K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
285 |
274 |
$14K |
| 95117 |
|
1,100 |
285 |
$11K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,265 |
5,727 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
79 |
70 |
$8K |
| 99381 |
|
68 |
57 |
$7K |
| 99382 |
|
37 |
30 |
$4K |
| 94760 |
|
5,509 |
4,956 |
$3K |
| 99383 |
|
27 |
25 |
$3K |
| 87807 |
|
560 |
538 |
$2K |
| 99384 |
|
13 |
13 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
194 |
186 |
$2K |
| 90473 |
|
92 |
90 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 0071A |
|
26 |
26 |
$1K |
| 81003 |
|
445 |
428 |
$658.94 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
11,539 |
10,607 |
$523.48 |
| 99443 |
|
12 |
12 |
$356.04 |
| 90670 |
|
1,498 |
1,455 |
$224.65 |
| 90620 |
|
878 |
859 |
$220.51 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$170.07 |
| 85018 |
|
117 |
108 |
$153.87 |
| S9470 |
Nutritional counseling, dietitian visit |
5,559 |
5,040 |
$150.00 |
| 90633 |
|
820 |
804 |
$114.06 |
| 90686 |
|
1,433 |
1,411 |
$88.01 |
| 90710 |
|
598 |
579 |
$30.00 |
| 90651 |
|
426 |
416 |
$19.13 |
| 90671 |
|
166 |
161 |
$10.00 |
| 90672 |
|
146 |
143 |
$10.00 |
| 90698 |
|
760 |
741 |
$0.00 |
| 99000 |
|
2,402 |
2,052 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
706 |
699 |
$0.00 |
| 90697 |
|
99 |
98 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
1,457 |
1,353 |
$0.00 |
| 90744 |
|
295 |
291 |
$0.00 |
| G0010 |
Administration of hepatitis b vaccine |
82 |
80 |
$0.00 |
| 99070 |
|
28 |
27 |
$0.00 |
| 90696 |
|
75 |
73 |
$0.00 |
| 99173 |
|
1,682 |
1,461 |
$0.00 |
| 90734 |
|
234 |
225 |
$0.00 |
| 90685 |
|
97 |
94 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
382 |
320 |
$0.00 |
| 90681 |
|
181 |
175 |
$0.00 |
| 90715 |
|
90 |
89 |
$0.00 |
| 90700 |
|
25 |
25 |
$0.00 |