| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,151 |
13,654 |
$559K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,925 |
4,725 |
$248K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,824 |
2,487 |
$209K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,944 |
2,610 |
$208K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,415 |
2,113 |
$194K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20,351 |
8,422 |
$181K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,836 |
1,596 |
$123K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
4,381 |
3,663 |
$104K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,897 |
3,720 |
$104K |
| 99429 |
|
3,181 |
2,773 |
$90K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,516 |
6,208 |
$88K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,548 |
2,073 |
$54K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,619 |
1,388 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
257 |
209 |
$18K |
| 90461 |
|
4,699 |
3,498 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,274 |
1,313 |
$11K |
| 0071A |
|
320 |
247 |
$10K |
| 0001A |
|
217 |
190 |
$7K |
| 0072A |
|
188 |
168 |
$7K |
| 0002A |
|
141 |
124 |
$5K |
| 99381 |
|
81 |
56 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
53 |
51 |
$4K |
| 0003A |
|
95 |
94 |
$4K |
| 90734 |
|
789 |
686 |
$4K |
| 90671 |
|
929 |
847 |
$3K |
| 0081A |
|
73 |
56 |
$2K |
| 90651 |
|
973 |
862 |
$2K |
| 90656 |
|
3,802 |
3,216 |
$1K |
| 0082A |
|
31 |
31 |
$1K |
| 86580 |
|
110 |
104 |
$808.18 |
| 0073A |
|
17 |
17 |
$680.00 |
| 90733 |
|
182 |
141 |
$381.55 |
| 96160 |
|
1,494 |
1,324 |
$347.05 |
| CP002 |
|
32 |
25 |
$313.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
15 |
$195.88 |
| 90649 |
|
191 |
147 |
$64.75 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
7,418 |
6,502 |
$28.39 |
| S9451 |
Exercise classes, non-physician provider, per session |
7,563 |
6,545 |
$0.70 |
| 90680 |
|
1,031 |
912 |
$0.00 |
| 90697 |
|
681 |
615 |
$0.00 |
| 90716 |
|
709 |
656 |
$0.00 |
| 90723 |
|
788 |
651 |
$0.00 |
| 90696 |
|
90 |
81 |
$0.00 |
| 91307 |
|
633 |
495 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
80 |
75 |
$0.00 |
| 90707 |
|
681 |
635 |
$0.00 |
| 91300 |
|
662 |
545 |
$0.00 |
| 90633 |
|
803 |
739 |
$0.00 |
| 90670 |
|
1,174 |
1,023 |
$0.00 |
| 99483 |
Prolong outpt/office vis |
17 |
13 |
$0.00 |
| 90648 |
|
1,334 |
1,167 |
$0.00 |
| 90715 |
|
94 |
77 |
$0.00 |
| 90700 |
|
193 |
187 |
$0.00 |
| 91308 |
|
183 |
131 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
36 |
36 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |