| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,322 |
22,093 |
$2.41M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,368 |
4,364 |
$525K |
| 99442 |
|
6,277 |
6,044 |
$524K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,517 |
4,514 |
$493K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,614 |
13,473 |
$377K |
| 92552 |
|
10,906 |
10,869 |
$359K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,595 |
2,593 |
$281K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,871 |
1,832 |
$188K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
668 |
668 |
$81K |
| 90461 |
|
2,490 |
2,477 |
$66K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,113 |
1,094 |
$56K |
| 99050 |
|
5,426 |
5,150 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
314 |
295 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
250 |
250 |
$31K |
| 99441 |
|
538 |
536 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,217 |
5,201 |
$27K |
| 99401 |
|
2,644 |
2,641 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,414 |
749 |
$20K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,917 |
2,914 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
720 |
712 |
$17K |
| 99173 |
|
9,704 |
9,687 |
$16K |
| 96127 |
|
2,807 |
2,804 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
8,630 |
8,568 |
$12K |
| 90620 |
|
515 |
515 |
$11K |
| H0001 |
Alcohol and/or drug assessment |
2,230 |
2,227 |
$11K |
| 99188 |
|
334 |
334 |
$8K |
| 90670 |
|
877 |
875 |
$8K |
| 0002A |
|
180 |
180 |
$8K |
| 0001A |
|
188 |
188 |
$8K |
| 87110 |
|
523 |
523 |
$7K |
| 0072A |
|
154 |
154 |
$6K |
| 90686 |
|
4,108 |
4,098 |
$6K |
| 90671 |
|
37 |
37 |
$5K |
| 0071A |
|
126 |
124 |
$5K |
| 36406 |
|
688 |
656 |
$5K |
| 90651 |
|
1,527 |
1,525 |
$4K |
| 90672 |
|
1,513 |
1,513 |
$4K |
| 90619 |
|
336 |
336 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
206 |
202 |
$3K |
| 0004A |
|
39 |
39 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
83 |
83 |
$1K |
| 99460 |
|
13 |
13 |
$1K |
| 96160 |
|
24 |
24 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
33 |
33 |
$1K |
| 90734 |
|
623 |
623 |
$978.71 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$907.25 |
| 83655 |
|
95 |
95 |
$824.16 |
| 90715 |
|
374 |
373 |
$798.76 |
| D1206 |
Topical application of fluoride varnish |
24 |
24 |
$720.00 |
| 0112A |
|
16 |
16 |
$655.27 |
| 90716 |
|
312 |
312 |
$647.28 |
| 92587 |
|
27 |
27 |
$519.57 |
| 99177 |
|
423 |
422 |
$433.61 |
| 99072 |
|
1,270 |
1,207 |
$429.00 |
| 90707 |
|
316 |
316 |
$341.89 |
| 90685 |
|
337 |
337 |
$152.67 |
| 90633 |
|
314 |
313 |
$144.00 |
| 86580 |
|
14 |
14 |
$135.87 |
| 99000 |
|
8,340 |
8,244 |
$119.10 |
| 90680 |
|
427 |
426 |
$60.00 |
| 90648 |
|
177 |
177 |
$40.00 |
| 91307 |
|
242 |
224 |
$38.60 |
| 90698 |
|
232 |
231 |
$30.00 |
| 91311 |
|
32 |
31 |
$26.80 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
103 |
102 |
$24.60 |
| 3085F |
|
24 |
24 |
$20.00 |
| 90687 |
|
30 |
30 |
$8.02 |
| 91305 |
|
15 |
15 |
$2.70 |
| 91300 |
|
328 |
295 |
$0.15 |
| 3008F |
|
6,190 |
6,106 |
$0.08 |
| 3725F |
|
2,625 |
2,622 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,984 |
1,981 |
$0.00 |
| 90621 |
|
27 |
27 |
$0.00 |
| 3016F |
|
1,130 |
1,127 |
$0.00 |
| 99358 |
Prolong nursin fac eval 15m |
86 |
86 |
$0.00 |
| 90744 |
|
39 |
39 |
$0.00 |
| 1036F |
|
1,536 |
1,533 |
$0.00 |
| 1000F |
|
1,538 |
1,535 |
$0.00 |
| 90723 |
|
24 |
24 |
$0.00 |
| 90696 |
|
32 |
32 |
$0.00 |