| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,184 |
35,030 |
$2.14M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,272 |
7,700 |
$709K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,787 |
5,188 |
$467K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,913 |
5,256 |
$265K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,825 |
2,649 |
$262K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,602 |
2,422 |
$130K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,007 |
888 |
$89K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,343 |
2,137 |
$88K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,075 |
2,456 |
$74K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,358 |
4,131 |
$61K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
424 |
387 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,773 |
1,633 |
$19K |
| 99383 |
|
186 |
157 |
$16K |
| 99381 |
|
168 |
146 |
$14K |
| 85018 |
|
4,945 |
4,538 |
$13K |
| 99384 |
|
80 |
71 |
$9K |
| 96161 |
|
2,078 |
1,833 |
$7K |
| 99050 |
|
376 |
364 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
68 |
64 |
$5K |
| 81003 |
|
1,760 |
1,674 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
81 |
79 |
$4K |
| 81002 |
|
957 |
853 |
$3K |
| 99382 |
|
43 |
29 |
$3K |
| 87807 |
|
158 |
147 |
$2K |
| 99460 |
|
39 |
39 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,464 |
1,317 |
$2K |
| 83655 |
|
136 |
121 |
$926.00 |
| 90677 |
|
318 |
288 |
$909.27 |
| 90680 |
|
838 |
780 |
$788.60 |
| 99188 |
|
46 |
41 |
$758.15 |
| 96127 |
|
128 |
110 |
$700.28 |
| 0071A |
|
13 |
13 |
$538.00 |
| 0072A |
|
12 |
12 |
$496.00 |
| 90744 |
|
573 |
529 |
$390.88 |
| 90670 |
|
1,229 |
1,152 |
$215.33 |
| 96160 |
|
61 |
50 |
$155.45 |
| 90698 |
|
965 |
901 |
$67.38 |
| 92558 |
|
54 |
50 |
$54.00 |
| 92551 |
|
154 |
150 |
$53.01 |
| 99177 |
|
80 |
75 |
$8.40 |
| 36416 |
|
330 |
308 |
$8.20 |
| 90686 |
|
1,276 |
1,140 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
2,887 |
2,553 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
558 |
508 |
$0.00 |
| 90651 |
|
167 |
149 |
$0.00 |
| 90697 |
|
200 |
180 |
$0.00 |
| 90656 |
|
32 |
29 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
12,276 |
10,822 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
746 |
630 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
588 |
535 |
$0.00 |
| 90633 |
|
440 |
408 |
$0.00 |
| 0469T |
|
44 |
43 |
$0.00 |
| 99173 |
|
72 |
71 |
$0.00 |
| 90685 |
|
51 |
44 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 90734 |
|
29 |
27 |
$0.00 |