| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,333 |
17,711 |
$1.89M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,345 |
15,753 |
$961K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,608 |
5,603 |
$592K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,251 |
5,251 |
$563K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,625 |
17,209 |
$548K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,699 |
3,612 |
$369K |
| 92552 |
|
9,310 |
9,302 |
$326K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,526 |
2,526 |
$301K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
9,307 |
8,625 |
$246K |
| 90461 |
|
4,692 |
4,649 |
$173K |
| 99401 |
|
8,704 |
8,702 |
$121K |
| 99188 |
|
2,917 |
2,913 |
$57K |
| 90677 |
|
256 |
256 |
$30K |
| 99381 |
|
265 |
265 |
$30K |
| 83655 |
|
2,211 |
2,211 |
$27K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
488 |
483 |
$19K |
| 0072A |
|
410 |
410 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,467 |
1,462 |
$14K |
| 0071A |
|
309 |
306 |
$13K |
| 97802 |
|
789 |
789 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
357 |
351 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
78 |
78 |
$9K |
| 99406 |
|
1,378 |
1,377 |
$9K |
| S9470 |
Nutritional counseling, dietitian visit |
992 |
992 |
$8K |
| 0073A |
|
175 |
175 |
$7K |
| H0049 |
Alcohol and/or drug screening |
658 |
658 |
$6K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
251 |
251 |
$6K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,027 |
1,026 |
$5K |
| 85018 |
|
1,846 |
1,846 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
7,996 |
7,954 |
$4K |
| 90672 |
|
890 |
890 |
$4K |
| 0081A |
|
80 |
80 |
$3K |
| 99173 |
|
7,854 |
7,850 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
37 |
37 |
$3K |
| 90621 |
|
124 |
124 |
$2K |
| 0082A |
|
55 |
55 |
$2K |
| 36406 |
|
284 |
281 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$2K |
| 0124A |
|
34 |
34 |
$1K |
| 86580 |
|
144 |
143 |
$1K |
| 90670 |
|
2,422 |
2,417 |
$1K |
| 99460 |
|
13 |
13 |
$1K |
| 90658 |
|
661 |
661 |
$1K |
| 0083A |
|
25 |
25 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$903.47 |
| 0154A |
|
19 |
19 |
$772.18 |
| 90686 |
|
5,944 |
5,937 |
$714.81 |
| 90715 |
|
373 |
373 |
$653.54 |
| 0012A |
|
14 |
14 |
$590.60 |
| 0011A |
|
14 |
14 |
$569.35 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
35 |
$447.95 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
189 |
189 |
$428.88 |
| 0134A |
|
13 |
13 |
$320.00 |
| 90716 |
|
1,430 |
1,428 |
$301.96 |
| 90707 |
|
1,489 |
1,487 |
$99.11 |
| 90660 |
|
84 |
84 |
$86.64 |
| 96160 |
|
29 |
29 |
$72.48 |
| 90744 |
|
1,357 |
1,354 |
$62.22 |
| 90633 |
|
1,349 |
1,349 |
$37.16 |
| 96127 |
|
67 |
67 |
$29.37 |
| S9441 |
Asthma education, non-physician provider, per session |
20 |
20 |
$22.91 |
| 36416 |
|
2,134 |
2,133 |
$3.06 |
| 91308 |
|
203 |
197 |
$1.33 |
| 90700 |
|
300 |
300 |
$0.00 |
| 90734 |
|
729 |
728 |
$0.00 |
| 90685 |
|
319 |
319 |
$0.00 |
| 90648 |
|
238 |
238 |
$0.00 |
| 91312 |
|
33 |
33 |
$0.00 |
| 3725F |
|
193 |
193 |
$0.00 |
| 90710 |
|
18 |
18 |
$0.00 |
| 91313 |
|
13 |
13 |
$0.00 |
| 90680 |
|
2,024 |
2,017 |
$0.00 |
| 90696 |
|
410 |
410 |
$0.00 |
| 90651 |
|
1,356 |
1,356 |
$0.00 |
| 90698 |
|
2,043 |
2,037 |
$0.00 |
| 91307 |
|
986 |
895 |
$0.00 |
| 3008F |
|
14 |
14 |
$0.00 |
| 1036F |
|
121 |
121 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
26 |
26 |
$0.00 |
| 99000 |
|
74 |
72 |
$0.00 |
| 91301 |
|
47 |
47 |
$0.00 |
| 91315 |
|
19 |
19 |
$0.00 |