| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,692 |
14,875 |
$1.12M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,858 |
5,567 |
$552K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,909 |
3,902 |
$330K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,671 |
3,372 |
$262K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,562 |
2,558 |
$216K |
| 99442 |
|
2,521 |
2,371 |
$161K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,511 |
7,957 |
$117K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,923 |
4,903 |
$116K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,783 |
3,556 |
$111K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,575 |
2,529 |
$108K |
| 92587 |
|
7,835 |
7,793 |
$99K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,713 |
5,549 |
$97K |
| 92550 |
|
6,861 |
5,784 |
$89K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
965 |
965 |
$88K |
| D0190 |
|
3,847 |
3,841 |
$61K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,091 |
1,740 |
$46K |
| 99188 |
|
2,825 |
2,822 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,120 |
2,098 |
$21K |
| 97802 |
|
5,208 |
5,194 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,212 |
1,201 |
$16K |
| 83655 |
|
1,100 |
1,097 |
$15K |
| 90474 |
|
1,563 |
1,561 |
$10K |
| 17110 |
|
135 |
115 |
$9K |
| 87428 |
|
281 |
275 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
108 |
106 |
$4K |
| 96127 |
|
1,032 |
941 |
$3K |
| 81002 |
|
1,052 |
998 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
791 |
789 |
$2K |
| 85018 |
|
1,081 |
1,071 |
$2K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,618 |
3,609 |
$2K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,193 |
2,187 |
$2K |
| 99441 |
|
46 |
46 |
$2K |
| 99051 |
|
347 |
330 |
$1K |
| 99382 |
|
15 |
15 |
$1K |
| 85014 |
|
560 |
557 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,236 |
4,224 |
$1K |
| 98966 |
|
682 |
601 |
$540.27 |
| 99401 |
|
281 |
280 |
$515.80 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$491.97 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
24 |
$358.34 |
| 92551 |
|
27 |
27 |
$159.74 |
| 90473 |
|
12 |
12 |
$153.94 |
| 98967 |
|
118 |
113 |
$32.80 |
| 90677 |
|
284 |
284 |
$1.03 |
| G9007 |
Coordinated care fee, scheduled team conference |
849 |
745 |
$0.50 |
| G9002 |
Coordinated care fee, maintenance rate |
592 |
556 |
$0.30 |
| 90686 |
|
1,128 |
1,125 |
$0.04 |
| 90461 |
|
2,848 |
2,841 |
$0.00 |
| 90670 |
|
1,605 |
1,605 |
$0.00 |
| 90633 |
|
712 |
711 |
$0.00 |
| 90707 |
|
661 |
660 |
$0.00 |
| 90715 |
|
31 |
31 |
$0.00 |
| 90700 |
|
56 |
56 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
808 |
802 |
$0.00 |
| 90734 |
|
27 |
27 |
$0.00 |
| 90685 |
|
60 |
60 |
$0.00 |
| 90672 |
|
26 |
26 |
$0.00 |
| 90698 |
|
1,340 |
1,338 |
$0.00 |
| 90716 |
|
676 |
675 |
$0.00 |
| 90696 |
|
104 |
104 |
$0.00 |
| 90647 |
|
132 |
132 |
$0.00 |
| 90680 |
|
1,090 |
1,089 |
$0.00 |
| 90619 |
|
59 |
59 |
$0.00 |
| 90744 |
|
717 |
717 |
$0.00 |
| 90656 |
|
105 |
105 |
$0.00 |
| 1036F |
|
68 |
68 |
$0.00 |
| 90651 |
|
56 |
56 |
$0.00 |
| 90688 |
|
164 |
164 |
$0.00 |
| 92560 |
|
33 |
33 |
$0.00 |