| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,774 |
11,167 |
$481K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,904 |
5,631 |
$316K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,005 |
2,944 |
$260K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,773 |
2,693 |
$258K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,274 |
2,211 |
$182K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,997 |
7,527 |
$142K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,259 |
1,205 |
$97K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,555 |
3,416 |
$88K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,589 |
1,539 |
$66K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
214 |
212 |
$20K |
| 99429 |
|
492 |
480 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,014 |
983 |
$14K |
| 90461 |
|
2,012 |
1,679 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,179 |
1,141 |
$13K |
| 0071A |
|
336 |
319 |
$11K |
| 0001A |
|
288 |
283 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,070 |
2,012 |
$10K |
| 0072A |
|
240 |
238 |
$9K |
| 0002A |
|
221 |
220 |
$9K |
| 0003A |
|
208 |
200 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
433 |
427 |
$6K |
| 86580 |
|
429 |
415 |
$3K |
| 0073A |
|
82 |
81 |
$3K |
| 99383 |
|
29 |
28 |
$3K |
| 97169 |
|
666 |
648 |
$2K |
| 0124A |
|
54 |
54 |
$2K |
| 0081A |
|
47 |
45 |
$2K |
| 92552 |
|
76 |
76 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,704 |
3,504 |
$1K |
| 0154A |
|
17 |
17 |
$680.00 |
| 0082A |
|
15 |
15 |
$600.00 |
| 90480 |
|
41 |
41 |
$463.37 |
| 90677 |
|
228 |
215 |
$271.95 |
| 90688 |
|
2,475 |
2,455 |
$110.53 |
| 81003 |
|
15 |
15 |
$29.49 |
| 96160 |
|
2,750 |
2,664 |
$2.70 |
| 90715 |
|
349 |
343 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
3,876 |
3,804 |
$0.00 |
| 90633 |
|
654 |
644 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
3,760 |
3,585 |
$0.00 |
| 97803 |
|
10,966 |
10,690 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
429 |
418 |
$0.00 |
| 90687 |
|
466 |
464 |
$0.00 |
| 90710 |
|
456 |
444 |
$0.00 |
| 91300 |
|
604 |
559 |
$0.00 |
| 90707 |
|
84 |
84 |
$0.00 |
| G8709 |
Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne) |
106 |
101 |
$0.00 |
| 90670 |
|
938 |
921 |
$0.00 |
| 90734 |
|
453 |
438 |
$0.00 |
| 3210F |
|
941 |
904 |
$0.00 |
| 91312 |
|
16 |
16 |
$0.00 |
| 90621 |
|
408 |
397 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
42 |
41 |
$0.00 |
| 91320 |
|
12 |
12 |
$0.00 |
| 90700 |
|
60 |
57 |
$0.00 |
| 99173 |
|
152 |
146 |
$0.00 |
| 91308 |
|
56 |
54 |
$0.00 |
| G8712 |
Antibiotic not prescribed or dispensed |
55 |
55 |
$0.00 |
| 90713 |
|
24 |
24 |
$0.00 |
| 90658 |
|
38 |
38 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
28 |
28 |
$0.00 |
| 90681 |
|
35 |
32 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
11,179 |
10,882 |
$0.00 |
| 90680 |
|
592 |
579 |
$0.00 |
| 90696 |
|
135 |
129 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
5,722 |
5,534 |
$0.00 |
| 90619 |
|
497 |
491 |
$0.00 |
| 90651 |
|
1,285 |
1,258 |
$0.00 |
| G8708 |
Patient not prescribed antibiotic |
2,121 |
2,043 |
$0.00 |
| 90698 |
|
547 |
542 |
$0.00 |
| 90716 |
|
51 |
51 |
$0.00 |
| 90657 |
|
68 |
59 |
$0.00 |
| 91307 |
|
483 |
451 |
$0.00 |
| 2015F |
|
168 |
163 |
$0.00 |
| 90744 |
|
289 |
285 |
$0.00 |
| 97802 |
|
707 |
695 |
$0.00 |
| 99496 |
|
428 |
414 |
$0.00 |
| 2016F |
|
179 |
174 |
$0.00 |
| G8711 |
Prescribed antibiotic on or within 3 days after the episode date |
585 |
572 |
$0.00 |
| 90697 |
|
60 |
54 |
$0.00 |
| 90647 |
|
66 |
66 |
$0.00 |
| 90686 |
|
998 |
996 |
$0.00 |
| 90656 |
|
390 |
352 |
$0.00 |
| 90620 |
|
91 |
87 |
$0.00 |
| 91315 |
|
12 |
12 |
$0.00 |