| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,180 |
11,304 |
$547K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,803 |
14,115 |
$497K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,665 |
4,348 |
$320K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,118 |
3,842 |
$302K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
22,847 |
9,446 |
$212K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,208 |
2,073 |
$179K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,739 |
2,491 |
$177K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13,422 |
11,372 |
$157K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,029 |
1,837 |
$50K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
674 |
604 |
$47K |
| 90461 |
|
5,190 |
4,088 |
$34K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,587 |
3,131 |
$32K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
915 |
699 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,168 |
1,085 |
$24K |
| 87634 |
|
257 |
234 |
$13K |
| 90671 |
|
365 |
360 |
$10K |
| 99000 |
|
835 |
784 |
$8K |
| 90677 |
|
381 |
309 |
$7K |
| 90651 |
|
1,020 |
969 |
$6K |
| 90674 |
|
208 |
208 |
$6K |
| 90688 |
|
1,970 |
1,895 |
$4K |
| 87807 |
|
362 |
327 |
$3K |
| 97169 |
|
164 |
140 |
$3K |
| 90620 |
|
281 |
264 |
$3K |
| 96160 |
|
1,529 |
1,418 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
24 |
$1K |
| 99381 |
|
16 |
13 |
$923.87 |
| 90672 |
|
342 |
334 |
$794.85 |
| 99050 |
|
53 |
46 |
$653.85 |
| 90686 |
|
276 |
268 |
$520.03 |
| 99441 |
|
23 |
13 |
$230.21 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
10,598 |
10,131 |
$108.81 |
| 96161 |
|
1,544 |
1,080 |
$29.16 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,315 |
3,895 |
$13.11 |
| 90710 |
|
1,101 |
1,040 |
$0.00 |
| 90670 |
|
1,901 |
1,832 |
$0.00 |
| 90648 |
|
2,610 |
2,472 |
$0.00 |
| 90734 |
|
592 |
550 |
$0.00 |
| 90633 |
|
1,368 |
1,307 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
685 |
629 |
$0.00 |
| 99401 |
|
889 |
665 |
$0.00 |
| 90700 |
|
129 |
129 |
$0.00 |
| 90715 |
|
80 |
80 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
77 |
54 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 99072 |
|
225 |
206 |
$0.00 |
| 99421 |
|
17 |
15 |
$0.00 |
| 90723 |
|
1,862 |
1,762 |
$0.00 |
| 97802 |
|
3,518 |
2,818 |
$0.00 |
| 90680 |
|
1,582 |
1,504 |
$0.00 |
| 90656 |
|
350 |
158 |
$0.00 |
| 90660 |
|
147 |
76 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
461 |
220 |
$0.00 |
| 90696 |
|
180 |
171 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
19 |
13 |
$0.00 |