| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,633 |
42,674 |
$4.77M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,811 |
13,085 |
$986K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19,250 |
16,487 |
$535K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,772 |
4,744 |
$492K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,712 |
3,696 |
$424K |
| 92552 |
|
10,842 |
10,775 |
$385K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,561 |
2,557 |
$295K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,981 |
1,969 |
$198K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,882 |
4,601 |
$130K |
| 86580 |
|
9,564 |
9,349 |
$95K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
940 |
907 |
$87K |
| 90461 |
|
3,428 |
3,119 |
$79K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
273 |
270 |
$39K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
278 |
278 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
264 |
263 |
$29K |
| 97802 |
|
10,285 |
10,255 |
$21K |
| 0072A |
|
401 |
401 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,037 |
1,012 |
$15K |
| 0071A |
|
327 |
327 |
$13K |
| 0124A |
|
330 |
330 |
$12K |
| 0073A |
|
288 |
288 |
$11K |
| 90686 |
|
8,315 |
8,295 |
$10K |
| 0154A |
|
241 |
241 |
$10K |
| 99173 |
|
8,097 |
8,025 |
$9K |
| 0001A |
|
209 |
209 |
$9K |
| 0002A |
|
197 |
197 |
$8K |
| 0003A |
|
188 |
187 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
10,624 |
10,503 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
256 |
246 |
$5K |
| 90621 |
|
810 |
809 |
$3K |
| 90473 |
|
198 |
198 |
$3K |
| 90651 |
|
2,285 |
2,279 |
$3K |
| 0082A |
|
59 |
59 |
$2K |
| 96127 |
|
1,733 |
1,708 |
$2K |
| 99051 |
|
304 |
226 |
$2K |
| 0081A |
|
46 |
46 |
$2K |
| S9451 |
Exercise classes, non-physician provider, per session |
247 |
247 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,572 |
1,549 |
$1K |
| 90633 |
|
742 |
740 |
$1K |
| 90716 |
|
881 |
876 |
$925.06 |
| 85018 |
|
412 |
410 |
$890.74 |
| 90715 |
|
897 |
890 |
$883.89 |
| 0011A |
|
17 |
17 |
$691.91 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
155 |
154 |
$580.95 |
| 0012A |
|
13 |
13 |
$535.27 |
| 0083A |
|
13 |
13 |
$520.00 |
| 90619 |
|
450 |
448 |
$462.22 |
| 0054A |
|
14 |
14 |
$456.05 |
| 91315 |
|
237 |
237 |
$370.23 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$291.84 |
| 90707 |
|
1,083 |
1,067 |
$255.08 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,047 |
1,035 |
$218.50 |
| 91312 |
|
327 |
327 |
$199.14 |
| 90734 |
|
900 |
899 |
$134.25 |
| 90744 |
|
1,195 |
1,195 |
$133.44 |
| H0001 |
Alcohol and/or drug assessment |
14 |
14 |
$128.00 |
| 90700 |
|
1,418 |
1,413 |
$75.39 |
| 90672 |
|
177 |
177 |
$55.58 |
| 90687 |
|
385 |
384 |
$36.88 |
| 91307 |
|
1,098 |
1,012 |
$33.22 |
| 90713 |
|
1,181 |
1,176 |
$30.00 |
| 90670 |
|
857 |
855 |
$30.00 |
| 90656 |
|
63 |
63 |
$19.25 |
| 90680 |
|
421 |
420 |
$15.00 |
| 90648 |
|
593 |
591 |
$15.00 |
| 91300 |
|
592 |
581 |
$7.14 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
88 |
87 |
$6.00 |
| 91305 |
|
12 |
12 |
$5.20 |
| 91308 |
|
131 |
127 |
$1.04 |
| 1036F |
|
451 |
447 |
$0.00 |
| 3008F |
|
9,376 |
9,359 |
$0.00 |
| 36416 |
|
247 |
245 |
$0.00 |
| 1000F |
|
448 |
444 |
$0.00 |
| 99000 |
|
58 |
58 |
$0.00 |
| 91301 |
|
66 |
59 |
$0.00 |
| 3725F |
|
901 |
893 |
$0.00 |
| 90685 |
|
127 |
126 |
$0.00 |
| 97803 |
|
15 |
15 |
$0.00 |
| 3016F |
|
13 |
12 |
$0.00 |