| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,531 |
27,216 |
$2.42M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,375 |
16,585 |
$2.09M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,516 |
13,521 |
$778K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,744 |
3,625 |
$523K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,787 |
3,644 |
$496K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,135 |
3,019 |
$468K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,336 |
2,207 |
$338K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,428 |
9,600 |
$209K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,783 |
3,568 |
$68K |
| 97802 |
|
7,238 |
6,461 |
$42K |
| 97803 |
|
5,129 |
4,706 |
$29K |
| 90461 |
|
4,212 |
3,995 |
$25K |
| 99381 |
|
178 |
161 |
$25K |
| 92558 |
|
8,311 |
7,716 |
$20K |
| H0049 |
Alcohol and/or drug screening |
3,551 |
3,316 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
728 |
699 |
$16K |
| 96160 |
|
5,006 |
3,648 |
$14K |
| 99051 |
|
5,246 |
4,665 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,241 |
2,149 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,282 |
3,148 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
2,171 |
2,058 |
$10K |
| 99401 |
|
2,291 |
1,772 |
$6K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
1,679 |
1,259 |
$5K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
62 |
62 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,228 |
1,117 |
$4K |
| 99383 |
|
16 |
15 |
$3K |
| 94010 |
|
611 |
589 |
$3K |
| 99188 |
|
449 |
425 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
781 |
702 |
$2K |
| 96127 |
|
3,128 |
2,699 |
$1K |
| 99354 |
|
216 |
202 |
$1K |
| 90707 |
|
489 |
454 |
$625.48 |
| 99050 |
|
224 |
204 |
$487.49 |
| 90633 |
|
956 |
922 |
$483.95 |
| S9451 |
Exercise classes, non-physician provider, per session |
6,887 |
5,762 |
$442.37 |
| 90700 |
|
1,767 |
1,634 |
$358.73 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$258.51 |
| 90713 |
|
1,167 |
1,082 |
$63.94 |
| 99173 |
|
6,542 |
5,674 |
$54.19 |
| 0072A |
|
36 |
35 |
$40.00 |
| 90648 |
|
1,281 |
1,200 |
$10.26 |
| 90656 |
|
229 |
228 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,405 |
1,167 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
3,265 |
2,875 |
$0.00 |
| 1111F |
|
1,179 |
1,080 |
$0.00 |
| 90686 |
|
1,985 |
1,907 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
3,206 |
2,789 |
$0.00 |
| 90716 |
|
613 |
586 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,294 |
1,925 |
$0.00 |
| 90680 |
|
1,026 |
959 |
$0.00 |
| 90619 |
|
263 |
254 |
$0.00 |
| 90651 |
|
804 |
791 |
$0.00 |
| 90620 |
|
492 |
477 |
$0.00 |
| 90744 |
|
534 |
480 |
$0.00 |
| 90723 |
|
308 |
301 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
136 |
126 |
$0.00 |
| 92567 |
|
109 |
106 |
$0.00 |
| 90647 |
|
296 |
285 |
$0.00 |
| 90698 |
|
344 |
334 |
$0.00 |
| 99402 |
|
96 |
96 |
$0.00 |
| 0001A |
|
115 |
103 |
$0.00 |
| 90674 |
|
61 |
60 |
$0.00 |
| 91307 |
|
118 |
85 |
$0.00 |
| 90696 |
|
13 |
12 |
$0.00 |
| 90715 |
|
103 |
99 |
$0.00 |
| 90670 |
|
1,853 |
1,761 |
$0.00 |
| 99177 |
|
1,843 |
1,445 |
$0.00 |
| 90734 |
|
224 |
221 |
$0.00 |
| 94664 |
|
15 |
15 |
$0.00 |
| 90671 |
|
323 |
307 |
$0.00 |
| 91300 |
|
87 |
67 |
$0.00 |
| 0002A |
|
87 |
84 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
38 |
32 |
$0.00 |
| 99358 |
Prolong nursin fac eval 15m |
17 |
17 |
$0.00 |
| 90681 |
|
43 |
42 |
$0.00 |
| 0071A |
|
18 |
18 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |