| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,236 |
4,836 |
$276K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,217 |
3,899 |
$253K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,494 |
1,418 |
$108K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,086 |
1,078 |
$92K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,757 |
1,733 |
$69K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,178 |
1,166 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
172 |
171 |
$16K |
| D0145 |
Oral evaluation for a patient under three years of age |
473 |
472 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
140 |
135 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
80 |
80 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
202 |
191 |
$7K |
| 99381 |
|
51 |
49 |
$5K |
| D0190 |
|
274 |
271 |
$5K |
| 96127 |
|
258 |
244 |
$3K |
| 99382 |
|
27 |
27 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
133 |
131 |
$2K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
74 |
73 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 0003A |
|
30 |
30 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$570.12 |
| 90686 |
|
211 |
211 |
$520.79 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
57 |
55 |
$427.96 |
| 90677 |
|
215 |
213 |
$304.61 |
| 90461 |
|
1,051 |
1,035 |
$26.02 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
329 |
281 |
$0.00 |
| 90670 |
|
453 |
449 |
$0.00 |
| 91300 |
|
35 |
35 |
$0.00 |
| 90633 |
|
71 |
70 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90723 |
|
391 |
387 |
$0.00 |
| 90647 |
|
344 |
342 |
$0.00 |
| 90680 |
|
154 |
153 |
$0.00 |
| 90656 |
|
53 |
53 |
$0.00 |
| 91307 |
|
12 |
12 |
$0.00 |