| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,892 |
5,159 |
$416K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,054 |
4,331 |
$345K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,930 |
3,433 |
$297K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,082 |
23,648 |
$205K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,315 |
2,003 |
$185K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,881 |
13,395 |
$150K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,491 |
9,079 |
$98K |
| 99429 |
|
3,113 |
2,515 |
$80K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,735 |
2,572 |
$79K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,257 |
4,704 |
$69K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,871 |
2,602 |
$67K |
| 99381 |
|
867 |
743 |
$62K |
| S8301 |
Infection control supplies, not otherwise specified |
20,691 |
17,195 |
$44K |
| 99215 |
Prolong outpt/office vis |
1,545 |
1,429 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,380 |
3,224 |
$25K |
| 90474 |
|
2,850 |
2,445 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,557 |
4,847 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,025 |
5,551 |
$15K |
| 99383 |
|
106 |
98 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
57 |
51 |
$5K |
| 96160 |
|
8,201 |
7,198 |
$5K |
| 99051 |
|
3,273 |
2,943 |
$4K |
| 87807 |
|
1,901 |
1,765 |
$4K |
| 99382 |
|
36 |
35 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
130 |
125 |
$3K |
| 0001A |
|
93 |
92 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
147 |
141 |
$2K |
| 92551 |
|
6,373 |
5,671 |
$2K |
| 99384 |
|
18 |
17 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
358 |
347 |
$1K |
| 90670 |
|
3,396 |
2,866 |
$980.04 |
| 0002A |
|
30 |
29 |
$840.00 |
| 90461 |
|
1,802 |
1,496 |
$743.32 |
| 99000 |
|
327 |
316 |
$700.89 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,071 |
963 |
$500.78 |
| 0112A |
|
13 |
13 |
$480.00 |
| 90680 |
|
2,966 |
2,550 |
$426.00 |
| 96381 |
|
44 |
33 |
$425.25 |
| 90621 |
|
374 |
364 |
$384.45 |
| 90686 |
|
2,974 |
2,787 |
$364.33 |
| 90734 |
|
826 |
785 |
$333.02 |
| 97802 |
|
2,400 |
2,309 |
$130.33 |
| 0111A |
|
16 |
16 |
$120.00 |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$118.70 |
| 81002 |
|
154 |
139 |
$85.22 |
| 90744 |
|
672 |
429 |
$30.04 |
| 96127 |
|
5,544 |
3,849 |
$13.32 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,325 |
2,235 |
$10.50 |
| 90651 |
|
970 |
912 |
$0.24 |
| 90677 |
|
909 |
873 |
$0.15 |
| 90661 |
|
381 |
377 |
$0.10 |
| 90710 |
|
1,691 |
1,484 |
$0.00 |
| 90633 |
|
2,142 |
1,864 |
$0.00 |
| 90700 |
|
595 |
573 |
$0.00 |
| 99072 |
|
13,472 |
10,130 |
$0.00 |
| 99173 |
|
6,504 |
5,797 |
$0.00 |
| 90685 |
|
584 |
450 |
$0.00 |
| 90648 |
|
653 |
631 |
$0.00 |
| 91300 |
|
159 |
147 |
$0.00 |
| 90715 |
|
246 |
234 |
$0.00 |
| 90380 |
|
24 |
17 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
28 |
26 |
$0.00 |
| 91308 |
|
27 |
27 |
$0.00 |
| 91311 |
|
38 |
35 |
$0.00 |
| 99188 |
|
31 |
30 |
$0.00 |
| 90697 |
|
2,008 |
1,964 |
$0.00 |
| 90696 |
|
514 |
493 |
$0.00 |
| 90698 |
|
1,239 |
803 |
$0.00 |
| 91307 |
|
28 |
26 |
$0.00 |
| 94760 |
|
61 |
53 |
$0.00 |
| 90656 |
|
26 |
25 |
$0.00 |