| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,465 |
4,967 |
$486K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,573 |
2,260 |
$280K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,566 |
2,260 |
$124K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
505 |
486 |
$57K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
361 |
331 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
357 |
343 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,967 |
1,216 |
$26K |
| 97803 |
|
1,756 |
1,653 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
494 |
468 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
81 |
$10K |
| 90461 |
|
778 |
712 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
565 |
535 |
$6K |
| 99051 |
|
1,309 |
1,149 |
$5K |
| 97802 |
|
543 |
496 |
$5K |
| 99384 |
|
26 |
25 |
$4K |
| 99382 |
|
24 |
24 |
$4K |
| 99383 |
|
33 |
33 |
$4K |
| 92558 |
|
771 |
727 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
285 |
277 |
$2K |
| 99381 |
|
14 |
12 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
48 |
48 |
$409.35 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
93 |
93 |
$367.43 |
| 90670 |
|
212 |
206 |
$359.03 |
| 83655 |
|
31 |
31 |
$182.51 |
| 96160 |
|
388 |
365 |
$120.97 |
| 96127 |
|
87 |
76 |
$85.72 |
| 87807 |
|
14 |
12 |
$46.71 |
| 85018 |
|
33 |
33 |
$37.24 |
| 90671 |
|
46 |
39 |
$10.00 |
| 90686 |
|
70 |
69 |
$1.23 |
| 99177 |
|
1,409 |
1,143 |
$0.00 |
| 90633 |
|
65 |
65 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,006 |
907 |
$0.00 |
| 90713 |
|
60 |
60 |
$0.00 |
| 90700 |
|
96 |
96 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| 90648 |
|
56 |
56 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,219 |
1,036 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,763 |
1,468 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
628 |
482 |
$0.00 |
| 90680 |
|
83 |
80 |
$0.00 |
| 36416 |
|
51 |
46 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
52 |
46 |
$0.00 |
| 90651 |
|
16 |
13 |
$0.00 |
| 90716 |
|
32 |
29 |
$0.00 |
| 90744 |
|
25 |
25 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |