| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,874 |
10,909 |
$136K |
| 87428 |
|
1,322 |
1,246 |
$101K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,030 |
1,010 |
$100K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
994 |
972 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,729 |
4,073 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
587 |
577 |
$51K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,055 |
971 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,431 |
3,313 |
$42K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,640 |
1,410 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
310 |
299 |
$26K |
| S8301 |
Infection control supplies, not otherwise specified |
5,785 |
4,949 |
$23K |
| 99051 |
|
2,773 |
2,476 |
$5K |
| 99050 |
|
161 |
153 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
450 |
436 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
483 |
466 |
$3K |
| 96160 |
|
1,640 |
1,420 |
$2K |
| 0072A |
|
35 |
35 |
$2K |
| 0071A |
|
42 |
26 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
270 |
124 |
$820.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
291 |
283 |
$818.17 |
| 0001A |
|
13 |
13 |
$480.00 |
| 90620 |
|
45 |
40 |
$434.80 |
| 90651 |
|
108 |
108 |
$290.27 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
32 |
27 |
$245.09 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$240.46 |
| 90734 |
|
92 |
91 |
$158.53 |
| 92552 |
|
59 |
59 |
$148.75 |
| 90688 |
|
295 |
288 |
$140.43 |
| 92551 |
|
2,373 |
2,331 |
$65.96 |
| 90686 |
|
504 |
484 |
$59.42 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
173 |
172 |
$16.50 |
| 96161 |
|
1,272 |
1,065 |
$2.54 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,229 |
2,169 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,745 |
1,712 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,419 |
1,408 |
$0.00 |
| 96127 |
|
1,096 |
1,053 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 91307 |
|
111 |
92 |
$0.00 |
| 90680 |
|
30 |
26 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$0.00 |
| 90656 |
|
34 |
34 |
$0.00 |
| 90619 |
|
26 |
26 |
$0.00 |
| 90657 |
|
14 |
14 |
$0.00 |
| 99173 |
|
2,470 |
2,421 |
$0.00 |
| 90670 |
|
235 |
222 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
1,438 |
1,428 |
$0.00 |
| 90648 |
|
69 |
67 |
$0.00 |
| 90671 |
|
56 |
56 |
$0.00 |
| 91300 |
|
15 |
15 |
$0.00 |
| 90715 |
|
29 |
29 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |