| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,701 |
14,577 |
$985K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,962 |
9,045 |
$899K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,683 |
5,264 |
$515K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,578 |
13,135 |
$514K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,977 |
11,915 |
$514K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,449 |
4,082 |
$437K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,085 |
3,626 |
$342K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,051 |
1,873 |
$168K |
| 99215 |
Prolong outpt/office vis |
1,082 |
928 |
$132K |
| 92587 |
|
1,862 |
1,687 |
$69K |
| 99429 |
|
3,527 |
2,216 |
$44K |
| 94760 |
|
5,256 |
4,553 |
$40K |
| 96127 |
|
8,402 |
7,449 |
$34K |
| 99051 |
|
1,794 |
1,645 |
$33K |
| 87428 |
|
360 |
343 |
$24K |
| 94010 |
|
1,021 |
850 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,557 |
1,386 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,661 |
1,914 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
173 |
148 |
$16K |
| 99383 |
|
137 |
134 |
$14K |
| 99354 |
|
177 |
154 |
$13K |
| 96160 |
|
3,172 |
2,808 |
$10K |
| 99188 |
|
618 |
546 |
$10K |
| 90837 |
Psychotherapy, 53 minutes with patient |
144 |
69 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
636 |
600 |
$7K |
| 99381 |
|
89 |
80 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
399 |
394 |
$6K |
| 99401 |
|
1,333 |
1,222 |
$6K |
| 99384 |
|
63 |
59 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
445 |
193 |
$6K |
| 95012 |
|
390 |
327 |
$6K |
| 99382 |
|
57 |
57 |
$5K |
| 0071A |
|
143 |
134 |
$5K |
| 80061 |
Lipid panel |
283 |
261 |
$5K |
| 0001A |
|
133 |
119 |
$4K |
| 96161 |
|
1,118 |
1,030 |
$4K |
| 99173 |
|
7,857 |
7,013 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
187 |
184 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
61 |
60 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
54 |
46 |
$3K |
| 99050 |
|
117 |
110 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
28 |
$2K |
| 92583 |
|
65 |
65 |
$2K |
| 91300 |
|
138 |
125 |
$2K |
| 92551 |
|
852 |
786 |
$2K |
| 85018 |
|
474 |
434 |
$1K |
| 81002 |
|
380 |
355 |
$1K |
| 83655 |
|
85 |
81 |
$740.50 |
| 94060 |
|
13 |
13 |
$651.75 |
| 90461 |
|
653 |
579 |
$528.30 |
| D1206 |
Topical application of fluoride varnish |
31 |
27 |
$456.65 |
| 36415 |
Collection of venous blood by venipuncture |
1,980 |
1,787 |
$304.55 |
| 99493 |
|
119 |
74 |
$255.18 |
| 97802 |
|
2,353 |
2,118 |
$219.15 |
| 90651 |
|
1,007 |
945 |
$216.99 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,484 |
2,251 |
$206.78 |
| 90716 |
|
648 |
600 |
$122.02 |
| 92553 |
|
54 |
52 |
$78.68 |
| 90707 |
|
562 |
521 |
$70.92 |
| 90674 |
|
413 |
358 |
$67.22 |
| 90648 |
|
1,333 |
1,229 |
$19.67 |
| 36416 |
|
355 |
303 |
$2.80 |
| 90670 |
|
1,474 |
1,362 |
$0.00 |
| 90734 |
|
986 |
909 |
$0.00 |
| 90700 |
|
140 |
130 |
$0.00 |
| 90633 |
|
675 |
612 |
$0.00 |
| 90715 |
|
309 |
289 |
$0.00 |
| 90681 |
|
85 |
74 |
$0.00 |
| 5250F |
|
58 |
49 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
15 |
15 |
$0.00 |
| 90756 |
|
39 |
35 |
$0.00 |
| 1160F |
|
41 |
39 |
$0.00 |
| 90672 |
|
13 |
13 |
$0.00 |
| 90686 |
|
1,635 |
1,509 |
$0.00 |
| 90723 |
|
767 |
684 |
$0.00 |
| 90688 |
|
377 |
358 |
$0.00 |
| 99000 |
|
368 |
337 |
$0.00 |
| 90620 |
|
190 |
180 |
$0.00 |
| 90696 |
|
155 |
147 |
$0.00 |
| 92558 |
|
24 |
24 |
$0.00 |
| 90647 |
|
49 |
43 |
$0.00 |
| 91307 |
|
122 |
110 |
$0.00 |
| 1126F |
|
17 |
17 |
$0.00 |
| 3074F |
|
26 |
26 |
$0.00 |
| 99441 |
|
12 |
12 |
$0.00 |