| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,323 |
24,749 |
$955K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,563 |
9,028 |
$723K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,267 |
9,812 |
$681K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,779 |
6,476 |
$494K |
| 97802 |
|
36,632 |
33,726 |
$458K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,888 |
5,266 |
$439K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,543 |
15,389 |
$141K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,947 |
1,830 |
$103K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,063 |
877 |
$56K |
| 99381 |
|
960 |
699 |
$47K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15,734 |
13,539 |
$38K |
| 90671 |
|
359 |
325 |
$21K |
| 92587 |
|
3,353 |
3,098 |
$19K |
| 90649 |
|
1,411 |
1,251 |
$18K |
| 90651 |
|
2,201 |
2,092 |
$16K |
| 90697 |
|
790 |
715 |
$13K |
| 90620 |
|
3,872 |
3,541 |
$12K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
42,501 |
37,095 |
$11K |
| 90461 |
|
9,738 |
8,622 |
$11K |
| 99382 |
|
148 |
142 |
$11K |
| 90658 |
|
1,791 |
1,717 |
$11K |
| 90715 |
|
1,286 |
1,207 |
$10K |
| 90670 |
|
3,710 |
3,386 |
$9K |
| 99383 |
|
127 |
112 |
$9K |
| 90633 |
|
2,741 |
2,548 |
$8K |
| 94664 |
|
930 |
879 |
$6K |
| 90734 |
|
2,291 |
2,095 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
195 |
153 |
$4K |
| 90710 |
|
1,080 |
1,027 |
$4K |
| 83655 |
|
1,291 |
1,203 |
$4K |
| 99384 |
|
51 |
49 |
$4K |
| 85018 |
|
3,017 |
2,835 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
202 |
191 |
$1K |
| 90681 |
|
387 |
368 |
$1K |
| 92557 |
|
70 |
70 |
$1K |
| 81025 |
|
491 |
442 |
$1K |
| 90680 |
|
1,316 |
1,171 |
$960.00 |
| 81000 |
|
1,195 |
1,115 |
$951.67 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
260 |
210 |
$944.62 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
38 |
36 |
$781.42 |
| 90696 |
|
1,137 |
1,075 |
$583.60 |
| 36415 |
Collection of venous blood by venipuncture |
474 |
439 |
$535.00 |
| 81002 |
|
297 |
283 |
$438.00 |
| 90744 |
|
1,532 |
1,353 |
$390.00 |
| 90700 |
|
744 |
697 |
$180.00 |
| 90707 |
|
1,051 |
982 |
$174.15 |
| 90716 |
|
1,031 |
962 |
$168.59 |
| 90723 |
|
651 |
585 |
$150.00 |
| 90657 |
|
26 |
26 |
$111.33 |
| 90698 |
|
1,550 |
1,411 |
$70.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
160 |
118 |
$44.59 |
| 90672 |
|
17 |
17 |
$23.75 |
| 99177 |
|
4,666 |
4,044 |
$17.37 |
| 90677 |
|
172 |
163 |
$10.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
891 |
719 |
$0.00 |
| 94668 |
|
17 |
17 |
$0.00 |
| 90648 |
|
1,528 |
1,386 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
181 |
124 |
$0.00 |