| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46,493 |
34,962 |
$4.34M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,427 |
9,275 |
$610K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,524 |
13,577 |
$507K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,183 |
4,181 |
$437K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,151 |
3,151 |
$336K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,253 |
3,044 |
$317K |
| 92552 |
|
5,759 |
5,740 |
$188K |
| 99401 |
|
10,590 |
10,392 |
$141K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,055 |
1,055 |
$124K |
| 96156 |
|
7,496 |
7,492 |
$96K |
| 90461 |
|
4,028 |
3,992 |
$71K |
| 86580 |
|
3,710 |
3,708 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,567 |
1,545 |
$19K |
| 97802 |
|
7,940 |
7,733 |
$17K |
| 99402 |
|
1,468 |
1,463 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,550 |
7,546 |
$7K |
| 96127 |
|
5,101 |
5,097 |
$5K |
| 0072A |
|
124 |
124 |
$5K |
| S9470 |
Nutritional counseling, dietitian visit |
11,756 |
11,563 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
37 |
$5K |
| 99173 |
|
5,416 |
5,410 |
$4K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
1,489 |
1,484 |
$4K |
| 0071A |
|
81 |
81 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$3K |
| 0154A |
|
72 |
72 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,488 |
1,483 |
$2K |
| 90670 |
|
2,100 |
2,098 |
$2K |
| 99442 |
|
31 |
25 |
$2K |
| 90686 |
|
5,138 |
5,137 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
581 |
581 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$2K |
| 90651 |
|
1,011 |
1,010 |
$1K |
| 99072 |
|
472 |
451 |
$1K |
| 99406 |
|
1,483 |
1,482 |
$956.81 |
| 0081A |
|
22 |
22 |
$923.68 |
| 0082A |
|
21 |
21 |
$864.57 |
| H0049 |
Alcohol and/or drug screening |
910 |
909 |
$521.16 |
| 0083A |
|
12 |
12 |
$490.92 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
44 |
44 |
$294.84 |
| 90716 |
|
1,647 |
1,646 |
$198.59 |
| 90672 |
|
417 |
417 |
$196.54 |
| 90707 |
|
1,451 |
1,451 |
$195.98 |
| 90656 |
|
665 |
663 |
$115.11 |
| 99408 |
|
1,491 |
1,486 |
$111.11 |
| 90677 |
|
160 |
160 |
$92.00 |
| 90744 |
|
1,535 |
1,534 |
$88.98 |
| 96150 |
|
1,692 |
1,688 |
$66.87 |
| 90660 |
|
14 |
14 |
$57.76 |
| 90715 |
|
138 |
138 |
$56.42 |
| 90633 |
|
1,206 |
1,206 |
$24.00 |
| 90647 |
|
2,367 |
2,365 |
$15.00 |
| 91307 |
|
210 |
189 |
$13.65 |
| 90713 |
|
2,477 |
2,473 |
$9.40 |
| 91315 |
|
72 |
72 |
$9.30 |
| 91308 |
|
144 |
141 |
$8.53 |
| 90680 |
|
1,630 |
1,627 |
$0.00 |
| 90700 |
|
3,055 |
3,052 |
$0.00 |
| 90621 |
|
184 |
184 |
$0.00 |
| 3725F |
|
14 |
14 |
$0.00 |
| 90685 |
|
1,600 |
1,595 |
$0.00 |
| 90734 |
|
358 |
358 |
$0.00 |