| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,543 |
31,315 |
$3.88M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,308 |
6,054 |
$738K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,036 |
5,823 |
$644K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,560 |
6,304 |
$414K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,720 |
2,597 |
$287K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,868 |
6,775 |
$226K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,756 |
1,699 |
$211K |
| 86580 |
|
9,215 |
9,188 |
$96K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,111 |
1,984 |
$94K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,637 |
4,569 |
$82K |
| 92551 |
|
8,753 |
8,737 |
$78K |
| 99188 |
|
5,925 |
5,774 |
$77K |
| S9449 |
Weight management classes, non-physician provider, per session |
9,798 |
9,585 |
$73K |
| S9451 |
Exercise classes, non-physician provider, per session |
9,597 |
9,382 |
$63K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,456 |
2,454 |
$61K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
345 |
339 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
554 |
539 |
$55K |
| 90620 |
|
979 |
979 |
$52K |
| 97802 |
|
9,764 |
9,624 |
$51K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
4,729 |
4,719 |
$31K |
| S9452 |
Nutrition classes, non-physician provider, per session |
2,962 |
2,936 |
$29K |
| 87110 |
|
1,585 |
1,585 |
$29K |
| 81000 |
|
8,072 |
8,055 |
$28K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,129 |
1,117 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,080 |
3,014 |
$23K |
| H0049 |
Alcohol and/or drug screening |
1,819 |
1,815 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
113 |
113 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
141 |
141 |
$16K |
| 36410 |
|
4,260 |
4,247 |
$15K |
| 92587 |
|
673 |
671 |
$15K |
| 86769 |
|
1,021 |
1,019 |
$12K |
| S9470 |
Nutritional counseling, dietitian visit |
7,510 |
7,448 |
$11K |
| 0001A |
|
260 |
238 |
$10K |
| 0002A |
|
245 |
244 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70 |
69 |
$10K |
| 90658 |
|
618 |
617 |
$9K |
| 0072A |
|
215 |
215 |
$9K |
| 90686 |
|
2,970 |
2,962 |
$8K |
| 0071A |
|
191 |
188 |
$8K |
| 83655 |
|
886 |
884 |
$8K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,933 |
2,922 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
365 |
359 |
$5K |
| 90651 |
|
1,031 |
1,031 |
$5K |
| 0003A |
|
116 |
116 |
$5K |
| 90672 |
|
1,854 |
1,851 |
$4K |
| 99173 |
|
6,981 |
6,964 |
$4K |
| 90473 |
|
237 |
237 |
$4K |
| 90715 |
|
419 |
419 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
249 |
247 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
5,207 |
5,195 |
$4K |
| 0064A |
|
53 |
53 |
$2K |
| 87270 |
|
2,318 |
2,316 |
$2K |
| 0004A |
|
54 |
51 |
$2K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
759 |
733 |
$2K |
| 81002 |
|
657 |
651 |
$2K |
| 99384 |
|
12 |
12 |
$2K |
| 99383 |
|
13 |
13 |
$2K |
| D1206 |
Topical application of fluoride varnish |
50 |
49 |
$1K |
| 90677 |
|
12 |
12 |
$1K |
| 0012A |
|
32 |
32 |
$1K |
| 0031A |
|
37 |
37 |
$1K |
| 0011A |
|
32 |
32 |
$1K |
| 96127 |
|
2,385 |
2,367 |
$1K |
| 83013 |
|
14 |
14 |
$943.04 |
| 90657 |
|
76 |
76 |
$931.86 |
| 91307 |
|
394 |
366 |
$804.63 |
| 90461 |
|
56 |
56 |
$713.95 |
| 90716 |
|
138 |
136 |
$676.05 |
| 90656 |
|
438 |
438 |
$622.23 |
| 3074F |
|
1,370 |
1,329 |
$617.50 |
| 3078F |
|
1,354 |
1,313 |
$612.50 |
| 0073A |
|
12 |
12 |
$501.24 |
| 90734 |
|
876 |
875 |
$424.90 |
| 90707 |
|
127 |
126 |
$365.43 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
14 |
14 |
$213.46 |
| 91306 |
|
45 |
45 |
$170.90 |
| 96160 |
|
41 |
39 |
$151.63 |
| 91300 |
|
585 |
493 |
$103.65 |
| 90744 |
|
26 |
26 |
$97.80 |
| 90660 |
|
127 |
127 |
$74.56 |
| 91308 |
|
12 |
12 |
$50.06 |
| 99484 |
|
17 |
17 |
$50.00 |
| 99000 |
|
820 |
819 |
$40.76 |
| 3079F |
|
40 |
39 |
$40.00 |
| 36406 |
|
13 |
13 |
$35.07 |
| S9441 |
Asthma education, non-physician provider, per session |
12 |
12 |
$23.57 |
| G9275 |
Documentation that patient is a current non-tobacco user |
646 |
530 |
$20.00 |
| 3075F |
|
14 |
14 |
$20.00 |
| 91301 |
|
60 |
58 |
$0.04 |
| 3011F |
|
1,829 |
1,779 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,614 |
1,855 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,010 |
968 |
$0.00 |
| 1036F |
|
646 |
530 |
$0.00 |
| 3008F |
|
4,031 |
2,899 |
$0.00 |
| 1000F |
|
646 |
530 |
$0.00 |
| 99496 |
|
40 |
40 |
$0.00 |
| 1111F |
|
29 |
29 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 3725F |
|
2,831 |
2,810 |
$0.00 |
| 90670 |
|
127 |
127 |
$0.00 |
| 97803 |
|
556 |
520 |
$0.00 |
| 90713 |
|
104 |
104 |
$0.00 |
| 90700 |
|
105 |
105 |
$0.00 |
| 90633 |
|
80 |
79 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |
| 4120F |
|
52 |
51 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,013 |
971 |
$0.00 |