| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,784 |
3,519 |
$70K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,395 |
4,273 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,382 |
1,310 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,169 |
1,162 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
869 |
867 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
835 |
793 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,092 |
3,039 |
$14K |
| 99401 |
|
3,887 |
3,825 |
$11K |
| 92587 |
|
2,083 |
2,081 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
437 |
425 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
232 |
232 |
$5K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
360 |
360 |
$5K |
| 90461 |
|
1,279 |
1,254 |
$4K |
| 97802 |
|
2,574 |
2,570 |
$4K |
| S9451 |
Exercise classes, non-physician provider, per session |
2,305 |
2,302 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
130 |
124 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
228 |
228 |
$1K |
| 90670 |
|
105 |
105 |
$625.55 |
| 90686 |
|
905 |
905 |
$586.25 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
46 |
46 |
$531.92 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
403 |
403 |
$372.20 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
416 |
416 |
$357.68 |
| 99173 |
|
215 |
215 |
$335.97 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
125 |
120 |
$199.50 |
| 90656 |
|
83 |
82 |
$156.45 |
| 90685 |
|
186 |
185 |
$123.51 |
| 87110 |
|
12 |
12 |
$99.17 |
| 99072 |
|
5,390 |
4,893 |
$60.01 |
| 90707 |
|
27 |
27 |
$40.00 |
| H0001 |
Alcohol and/or drug assessment |
14 |
14 |
$10.00 |
| 3078F |
|
577 |
577 |
$0.00 |
| 1160F |
|
3,733 |
3,510 |
$0.00 |
| 1159F |
|
3,720 |
3,497 |
$0.00 |
| 3725F |
|
180 |
180 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
448 |
448 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 3074F |
|
578 |
578 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,049 |
1,048 |
$0.00 |
| 1000F |
|
156 |
156 |
$0.00 |
| 3008F |
|
2,213 |
2,210 |
$0.00 |
| 1126F |
|
145 |
140 |
$0.00 |
| 1036F |
|
182 |
182 |
$0.00 |
| 99070 |
|
91 |
88 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 90698 |
|
51 |
51 |
$0.00 |
| 90744 |
|
14 |
13 |
$0.00 |
| 1125F |
|
14 |
14 |
$0.00 |
| 99000 |
|
23 |
23 |
$0.00 |