| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
88,164 |
67,376 |
$8.26M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15,180 |
15,084 |
$1.66M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
11,772 |
11,738 |
$1.41M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,214 |
11,152 |
$1.23M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
35,682 |
35,289 |
$946K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,618 |
6,554 |
$673K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,053 |
3,037 |
$371K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19,938 |
18,624 |
$251K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,828 |
3,784 |
$228K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,353 |
5,929 |
$176K |
| 90461 |
|
4,930 |
4,907 |
$168K |
| 99460 |
|
1,473 |
1,473 |
$138K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
915 |
914 |
$114K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,449 |
1,448 |
$106K |
| 99462 |
|
1,906 |
1,496 |
$79K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,928 |
5,691 |
$75K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,580 |
4,562 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,104 |
1,093 |
$19K |
| 90686 |
|
12,910 |
12,887 |
$14K |
| 0072A |
|
316 |
316 |
$13K |
| 0071A |
|
236 |
234 |
$10K |
| 90716 |
|
3,696 |
3,689 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
9,958 |
9,899 |
$7K |
| 90715 |
|
983 |
981 |
$5K |
| H0049 |
Alcohol and/or drug screening |
535 |
534 |
$4K |
| 90707 |
|
2,829 |
2,826 |
$3K |
| 90656 |
|
2,293 |
2,290 |
$3K |
| 90620 |
|
1,386 |
1,385 |
$3K |
| 0082A |
|
61 |
61 |
$2K |
| 0083A |
|
58 |
58 |
$2K |
| 0081A |
|
56 |
56 |
$2K |
| 86580 |
|
228 |
223 |
$2K |
| 90670 |
|
3,439 |
3,437 |
$2K |
| 99381 |
|
13 |
13 |
$2K |
| 99441 |
|
62 |
62 |
$1K |
| 90651 |
|
1,793 |
1,789 |
$1K |
| 90680 |
|
2,749 |
2,746 |
$1K |
| 90698 |
|
2,517 |
2,515 |
$1K |
| 90633 |
|
2,039 |
2,036 |
$1K |
| H0001 |
Alcohol and/or drug assessment |
14,129 |
14,081 |
$780.00 |
| 90744 |
|
3,910 |
3,892 |
$754.13 |
| 0073A |
|
15 |
15 |
$631.23 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
28 |
$413.48 |
| 90710 |
|
14 |
14 |
$298.53 |
| 90677 |
|
365 |
365 |
$298.04 |
| 90619 |
|
665 |
663 |
$187.18 |
| 90687 |
|
1,685 |
1,684 |
$170.47 |
| 90700 |
|
823 |
821 |
$107.10 |
| 90647 |
|
969 |
968 |
$107.10 |
| 87807 |
|
18 |
18 |
$85.10 |
| 90688 |
|
1,248 |
1,245 |
$16.55 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
12,245 |
12,205 |
$0.20 |
| 3725F |
|
6,695 |
6,676 |
$0.00 |
| 3016F |
|
6,695 |
6,676 |
$0.00 |
| 90734 |
|
1,161 |
1,159 |
$0.00 |
| 91308 |
|
211 |
211 |
$0.00 |
| 90685 |
|
437 |
436 |
$0.00 |
| 90672 |
|
465 |
465 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
187 |
187 |
$0.00 |
| 99173 |
|
166 |
166 |
$0.00 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
34 |
34 |
$0.00 |
| 3008F |
|
17,310 |
17,200 |
$0.00 |
| 90696 |
|
477 |
477 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,197 |
1,196 |
$0.00 |
| 97802 |
|
34,674 |
34,458 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12,075 |
12,035 |
$0.00 |
| 1036F |
|
6,962 |
6,943 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,194 |
3,174 |
$0.00 |
| 1000F |
|
6,527 |
6,508 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
63 |
63 |
$0.00 |
| 91307 |
|
617 |
583 |
$0.00 |
| 90660 |
|
60 |
60 |
$0.00 |
| 90723 |
|
26 |
26 |
$0.00 |