| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,677 |
13,422 |
$980K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,162 |
7,692 |
$386K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,035 |
2,742 |
$276K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,505 |
2,421 |
$247K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,560 |
2,280 |
$229K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,290 |
3,891 |
$163K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,228 |
1,152 |
$127K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,166 |
1,099 |
$118K |
| T1015 |
Clinic visit/encounter, all-inclusive |
667 |
640 |
$54K |
| 99050 |
|
1,809 |
1,730 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,763 |
2,404 |
$25K |
| 85018 |
|
7,348 |
6,890 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,235 |
728 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
375 |
364 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
877 |
839 |
$11K |
| 92551 |
|
3,977 |
3,705 |
$10K |
| 81002 |
|
3,219 |
2,997 |
$10K |
| 96127 |
|
2,199 |
2,054 |
$10K |
| 99429 |
|
669 |
366 |
$6K |
| 99173 |
|
4,211 |
3,911 |
$5K |
| 96160 |
|
1,863 |
1,724 |
$5K |
| 99460 |
|
57 |
52 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
50 |
46 |
$3K |
| 0072A |
|
71 |
67 |
$3K |
| 96161 |
|
958 |
896 |
$3K |
| 99188 |
|
130 |
130 |
$2K |
| 83655 |
|
235 |
200 |
$2K |
| 0071A |
|
32 |
32 |
$1K |
| 87807 |
|
43 |
43 |
$669.44 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,403 |
1,305 |
$545.10 |
| 90651 |
|
292 |
268 |
$363.00 |
| 90671 |
|
412 |
408 |
$246.20 |
| 90620 |
|
397 |
358 |
$243.02 |
| 90670 |
|
1,253 |
1,177 |
$216.89 |
| 90619 |
|
58 |
57 |
$171.02 |
| 86580 |
|
16 |
12 |
$110.48 |
| 90633 |
|
323 |
285 |
$52.72 |
| 90686 |
|
1,236 |
1,190 |
$0.01 |
| 90648 |
|
540 |
499 |
$0.00 |
| 90685 |
|
58 |
53 |
$0.00 |
| 3078F |
|
70 |
67 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
275 |
260 |
$0.00 |
| 90681 |
|
67 |
67 |
$0.00 |
| 1160F |
|
140 |
133 |
$0.00 |
| 90700 |
|
76 |
76 |
$0.00 |
| 90715 |
|
29 |
28 |
$0.00 |
| 90734 |
|
86 |
73 |
$0.00 |
| 90710 |
|
26 |
25 |
$0.00 |
| 90707 |
|
14 |
13 |
$0.00 |
| 90713 |
|
17 |
17 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
18 |
15 |
$0.00 |
| 90672 |
|
16 |
16 |
$0.00 |
| 90680 |
|
697 |
670 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
276 |
257 |
$0.00 |
| 36416 |
|
158 |
132 |
$0.00 |
| 90723 |
|
370 |
368 |
$0.00 |
| 3008F |
|
177 |
167 |
$0.00 |
| 90716 |
|
48 |
37 |
$0.00 |
| 90698 |
|
53 |
50 |
$0.00 |
| 90647 |
|
313 |
306 |
$0.00 |
| 90696 |
|
27 |
26 |
$0.00 |
| 91307 |
|
124 |
118 |
$0.00 |
| 3074F |
|
31 |
30 |
$0.00 |