| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,104 |
30,962 |
$1.16M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,203 |
6,147 |
$472K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,280 |
5,943 |
$471K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,274 |
5,215 |
$408K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,483 |
8,012 |
$403K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31,449 |
12,573 |
$330K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,411 |
3,315 |
$267K |
| 99429 |
|
6,027 |
5,987 |
$191K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,858 |
1,784 |
$136K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,292 |
9,300 |
$74K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,212 |
4,048 |
$53K |
| 87634 |
|
699 |
669 |
$38K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
963 |
927 |
$36K |
| 90461 |
|
7,613 |
6,541 |
$33K |
| 99460 |
|
429 |
422 |
$32K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
502 |
495 |
$29K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
312 |
301 |
$15K |
| 83655 |
|
1,475 |
1,453 |
$14K |
| 99381 |
|
176 |
174 |
$14K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,000 |
830 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
553 |
307 |
$7K |
| 90756 |
|
449 |
445 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
160 |
156 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
604 |
587 |
$4K |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
6,685 |
6,573 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
328 |
293 |
$3K |
| 54150 |
|
40 |
40 |
$3K |
| 92015 |
Determination of refractive state |
703 |
697 |
$3K |
| 92587 |
|
1,673 |
1,633 |
$3K |
| 90674 |
|
333 |
322 |
$3K |
| 90671 |
|
1,473 |
1,465 |
$1K |
| 87807 |
|
89 |
84 |
$904.11 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$663.63 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
38 |
$483.42 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$407.07 |
| 69210 |
|
13 |
12 |
$371.10 |
| 85014 |
|
186 |
186 |
$362.47 |
| 81002 |
|
105 |
98 |
$285.37 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$175.92 |
| 90661 |
|
228 |
228 |
$159.23 |
| 85018 |
|
187 |
187 |
$147.55 |
| 96160 |
|
96 |
87 |
$134.47 |
| 99177 |
|
1,691 |
1,662 |
$3.50 |
| 90677 |
|
363 |
361 |
$0.69 |
| 90688 |
|
766 |
752 |
$0.02 |
| 90651 |
|
855 |
845 |
$0.01 |
| 90620 |
|
43 |
41 |
$0.01 |
| 90680 |
|
3,326 |
3,300 |
$0.00 |
| 99070 |
|
531 |
503 |
$0.00 |
| 90723 |
|
3,125 |
3,097 |
$0.00 |
| 90696 |
|
270 |
262 |
$0.00 |
| 90647 |
|
350 |
346 |
$0.00 |
| 90698 |
|
123 |
123 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
29 |
29 |
$0.00 |
| 90670 |
|
2,824 |
2,788 |
$0.00 |
| 90710 |
|
1,830 |
1,805 |
$0.00 |
| 90648 |
|
3,694 |
3,663 |
$0.00 |
| 90734 |
|
559 |
553 |
$0.00 |
| 90715 |
|
141 |
139 |
$0.00 |
| 90633 |
|
2,219 |
2,190 |
$0.00 |
| 99072 |
|
565 |
537 |
$0.00 |
| 90700 |
|
627 |
620 |
$0.00 |
| 90687 |
|
302 |
298 |
$0.00 |
| 99173 |
|
28 |
28 |
$0.00 |
| 90672 |
|
75 |
75 |
$0.00 |