| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54,473 |
34,129 |
$5.46M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,538 |
3,274 |
$357K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,429 |
10,539 |
$349K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,935 |
2,932 |
$319K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,792 |
1,789 |
$214K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,131 |
1,131 |
$122K |
| 92552 |
|
3,257 |
3,207 |
$118K |
| 99401 |
|
9,810 |
9,125 |
$100K |
| 99381 |
|
476 |
476 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
366 |
366 |
$43K |
| 99188 |
|
3,527 |
3,515 |
$42K |
| 90461 |
|
3,238 |
3,200 |
$41K |
| 94060 |
|
749 |
739 |
$34K |
| 99051 |
|
14,775 |
12,931 |
$30K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
251 |
250 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
410 |
409 |
$26K |
| 99460 |
|
254 |
253 |
$24K |
| 90677 |
|
342 |
341 |
$18K |
| 17250 |
|
182 |
174 |
$17K |
| 99383 |
|
128 |
127 |
$15K |
| 99382 |
|
107 |
107 |
$12K |
| 97803 |
|
8,015 |
7,784 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
48 |
40 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
298 |
293 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,162 |
1,614 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
633 |
629 |
$4K |
| 97802 |
|
1,501 |
1,494 |
$4K |
| 0072A |
|
70 |
69 |
$3K |
| 0074A |
|
61 |
61 |
$2K |
| 36410 |
|
1,851 |
1,827 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
885 |
842 |
$2K |
| 99384 |
|
12 |
12 |
$2K |
| 0071A |
|
36 |
36 |
$1K |
| 36406 |
|
456 |
454 |
$1K |
| 0081A |
|
29 |
29 |
$1K |
| 90380 |
|
13 |
13 |
$1K |
| 86580 |
|
86 |
85 |
$836.52 |
| 69210 |
|
155 |
154 |
$781.89 |
| 96127 |
|
560 |
557 |
$775.47 |
| 90670 |
|
1,671 |
1,671 |
$701.67 |
| 0154A |
|
17 |
17 |
$684.06 |
| 0173A |
|
16 |
13 |
$600.00 |
| 90381 |
|
34 |
34 |
$564.30 |
| 90686 |
|
3,329 |
3,323 |
$558.80 |
| 96380 |
|
40 |
40 |
$545.11 |
| 90656 |
|
398 |
398 |
$486.12 |
| 99173 |
|
2,926 |
2,884 |
$461.18 |
| 0082A |
|
12 |
12 |
$418.00 |
| 90744 |
|
1,724 |
1,723 |
$300.33 |
| 90658 |
|
81 |
81 |
$285.33 |
| 90651 |
|
116 |
116 |
$220.00 |
| S9470 |
Nutritional counseling, dietitian visit |
17 |
13 |
$160.00 |
| 90716 |
|
406 |
406 |
$150.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
446 |
442 |
$122.00 |
| 90698 |
|
1,379 |
1,379 |
$110.00 |
| 90680 |
|
1,380 |
1,380 |
$90.00 |
| H0049 |
Alcohol and/or drug screening |
12 |
12 |
$58.48 |
| 91308 |
|
111 |
102 |
$42.10 |
| 91317 |
|
16 |
13 |
$1.04 |
| 91307 |
|
161 |
156 |
$0.47 |
| 91315 |
|
18 |
18 |
$0.15 |
| 90648 |
|
306 |
306 |
$0.00 |
| 90700 |
|
323 |
323 |
$0.00 |
| 3725F |
|
420 |
416 |
$0.00 |
| 90633 |
|
840 |
840 |
$0.00 |
| 90710 |
|
38 |
38 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90707 |
|
431 |
430 |
$0.00 |
| 90734 |
|
58 |
58 |
$0.00 |
| 90713 |
|
31 |
31 |
$0.00 |
| 3008F |
|
1,553 |
1,483 |
$0.00 |
| 1000F |
|
352 |
349 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
573 |
540 |
$0.00 |
| 90696 |
|
86 |
86 |
$0.00 |
| 1036F |
|
350 |
347 |
$0.00 |