| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,685 |
35,409 |
$2.63M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,048 |
4,913 |
$447K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,749 |
4,609 |
$420K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,017 |
15,340 |
$349K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,934 |
3,794 |
$315K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,115 |
3,004 |
$295K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,306 |
6,759 |
$272K |
| 99441 |
|
3,213 |
2,696 |
$140K |
| 99442 |
|
1,822 |
1,128 |
$123K |
| 90461 |
|
5,116 |
4,890 |
$88K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,483 |
10,096 |
$79K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
732 |
705 |
$60K |
| 99188 |
|
3,368 |
3,274 |
$59K |
| 92558 |
|
8,439 |
8,022 |
$54K |
| 90651 |
|
952 |
876 |
$34K |
| 90670 |
|
1,581 |
1,526 |
$20K |
| 90734 |
|
705 |
664 |
$17K |
| 83655 |
|
3,323 |
3,095 |
$17K |
| 90688 |
|
1,116 |
1,055 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,481 |
705 |
$16K |
| 3008F |
|
7,534 |
7,103 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
144 |
139 |
$14K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
14,597 |
13,746 |
$14K |
| 99381 |
|
191 |
174 |
$14K |
| 90620 |
|
370 |
348 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
111 |
106 |
$10K |
| 99173 |
|
7,971 |
7,632 |
$9K |
| 90710 |
|
735 |
695 |
$9K |
| 99401 |
|
485 |
478 |
$8K |
| 90716 |
|
331 |
289 |
$7K |
| 90633 |
|
1,395 |
1,279 |
$5K |
| 90677 |
|
224 |
216 |
$4K |
| 90700 |
|
653 |
610 |
$4K |
| 90697 |
|
523 |
493 |
$3K |
| S9451 |
Exercise classes, non-physician provider, per session |
8,744 |
8,285 |
$3K |
| 90707 |
|
181 |
155 |
$2K |
| 90715 |
|
288 |
272 |
$2K |
| 90649 |
|
80 |
80 |
$2K |
| S9470 |
Nutritional counseling, dietitian visit |
8,267 |
7,947 |
$2K |
| 90686 |
|
4,734 |
4,458 |
$1K |
| 36416 |
|
348 |
347 |
$1K |
| 90656 |
|
813 |
800 |
$1K |
| 90680 |
|
592 |
560 |
$916.34 |
| 97802 |
|
9,033 |
8,665 |
$885.98 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
43 |
43 |
$761.53 |
| 90647 |
|
309 |
293 |
$758.64 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$725.46 |
| 90713 |
|
103 |
98 |
$630.86 |
| 90671 |
|
382 |
336 |
$616.11 |
| 90698 |
|
526 |
501 |
$560.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
44 |
$456.66 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
34 |
34 |
$419.16 |
| 90744 |
|
258 |
242 |
$313.40 |
| 87070 |
|
50 |
49 |
$251.80 |
| 90685 |
|
63 |
63 |
$243.50 |
| 87084 |
|
27 |
23 |
$169.19 |
| 99000 |
|
3,112 |
2,800 |
$28.10 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
190 |
188 |
$0.00 |
| 90696 |
|
231 |
210 |
$0.00 |
| 99091 |
|
113 |
111 |
$0.00 |
| 1159F |
|
579 |
558 |
$0.00 |
| 90681 |
|
49 |
42 |
$0.00 |
| 90672 |
|
19 |
17 |
$0.00 |
| 4120F |
|
23 |
23 |
$0.00 |