| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,314 |
34,212 |
$4.95M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,949 |
3,578 |
$393K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,431 |
3,404 |
$365K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,786 |
10,085 |
$293K |
| 99401 |
|
10,570 |
9,868 |
$109K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
884 |
883 |
$102K |
| 90461 |
|
3,261 |
3,234 |
$79K |
| 92552 |
|
1,872 |
1,822 |
$57K |
| 99051 |
|
10,487 |
9,343 |
$54K |
| 99188 |
|
3,005 |
2,999 |
$47K |
| 94060 |
|
811 |
776 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
278 |
275 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
469 |
465 |
$24K |
| 97803 |
|
7,783 |
7,628 |
$8K |
| 99381 |
|
74 |
74 |
$8K |
| 99382 |
|
73 |
73 |
$8K |
| 99460 |
|
74 |
73 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,679 |
1,865 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$3K |
| 90670 |
|
2,026 |
2,026 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
121 |
$2K |
| 99383 |
|
16 |
16 |
$2K |
| 97802 |
|
1,049 |
979 |
$2K |
| 86580 |
|
152 |
152 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
267 |
258 |
$1K |
| S9470 |
Nutritional counseling, dietitian visit |
845 |
824 |
$998.05 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
16 |
13 |
$654.01 |
| 90686 |
|
3,083 |
3,078 |
$548.65 |
| 36406 |
|
86 |
85 |
$524.17 |
| 54450 |
|
16 |
16 |
$482.78 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
46 |
45 |
$442.46 |
| 99173 |
|
1,732 |
1,690 |
$298.88 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
43 |
43 |
$289.88 |
| H0001 |
Alcohol and/or drug assessment |
31 |
31 |
$224.01 |
| 99407 |
|
15 |
15 |
$220.32 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$168.48 |
| 90744 |
|
1,180 |
1,178 |
$161.40 |
| 36410 |
|
68 |
67 |
$71.55 |
| 96127 |
|
12 |
12 |
$70.80 |
| 90656 |
|
130 |
130 |
$45.88 |
| 90687 |
|
13 |
12 |
$18.16 |
| 90707 |
|
283 |
282 |
$0.00 |
| 90473 |
|
66 |
66 |
$0.00 |
| 90633 |
|
723 |
723 |
$0.00 |
| 90648 |
|
278 |
278 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
205 |
199 |
$0.00 |
| 90700 |
|
217 |
217 |
$0.00 |
| 90658 |
|
13 |
13 |
$0.00 |
| 90710 |
|
16 |
16 |
$0.00 |
| 90680 |
|
1,426 |
1,426 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,407 |
1,320 |
$0.00 |
| 90698 |
|
1,471 |
1,471 |
$0.00 |
| 90716 |
|
288 |
287 |
$0.00 |
| 3008F |
|
600 |
577 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
12 |
12 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
15 |
14 |
$0.00 |