| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,495 |
35,592 |
$4.82M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20,988 |
17,845 |
$1.29M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,863 |
5,148 |
$802K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,059 |
7,053 |
$762K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,006 |
16,418 |
$584K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,048 |
4,999 |
$500K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,989 |
2,989 |
$325K |
| 90461 |
|
6,594 |
6,337 |
$251K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,243 |
1,242 |
$158K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14,254 |
14,084 |
$96K |
| 99381 |
|
889 |
887 |
$89K |
| 90677 |
|
279 |
279 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
533 |
533 |
$64K |
| 92551 |
|
5,249 |
5,248 |
$63K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
11,369 |
9,345 |
$43K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
152 |
152 |
$29K |
| 99460 |
|
241 |
241 |
$23K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
245 |
245 |
$18K |
| 99401 |
|
855 |
853 |
$16K |
| 99383 |
|
131 |
131 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
309 |
308 |
$11K |
| 99051 |
|
5,791 |
5,007 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
109 |
109 |
$9K |
| 0072A |
|
171 |
171 |
$7K |
| 0071A |
|
163 |
163 |
$6K |
| H0049 |
Alcohol and/or drug screening |
235 |
235 |
$5K |
| 90686 |
|
6,021 |
5,991 |
$5K |
| 0081A |
|
112 |
112 |
$5K |
| 0082A |
|
93 |
93 |
$4K |
| H0001 |
Alcohol and/or drug assessment |
357 |
357 |
$3K |
| 0074A |
|
65 |
65 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
7,283 |
7,278 |
$2K |
| 90670 |
|
3,260 |
3,236 |
$2K |
| 96127 |
|
1,802 |
1,792 |
$2K |
| 0112A |
|
41 |
41 |
$2K |
| 99384 |
|
13 |
13 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,850 |
1,839 |
$1K |
| 0083A |
|
34 |
34 |
$1K |
| 90680 |
|
2,768 |
2,757 |
$1K |
| 90648 |
|
3,172 |
3,151 |
$1K |
| 90723 |
|
2,263 |
2,250 |
$1K |
| 0111A |
|
26 |
26 |
$1K |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
443 |
443 |
$972.00 |
| 90633 |
|
1,737 |
1,729 |
$963.90 |
| 97802 |
|
485 |
485 |
$963.88 |
| 99173 |
|
4,224 |
4,223 |
$835.27 |
| 0113A |
|
18 |
18 |
$724.30 |
| 91307 |
|
339 |
317 |
$705.30 |
| S9470 |
Nutritional counseling, dietitian visit |
203 |
202 |
$600.00 |
| 94664 |
|
27 |
24 |
$507.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
33 |
$475.44 |
| S9451 |
Exercise classes, non-physician provider, per session |
111 |
111 |
$426.57 |
| 86580 |
|
24 |
24 |
$229.92 |
| 90473 |
|
67 |
67 |
$224.25 |
| 36410 |
|
483 |
481 |
$136.61 |
| 90696 |
|
714 |
714 |
$17.85 |
| 91308 |
|
196 |
194 |
$4.51 |
| 91311 |
|
144 |
144 |
$4.50 |
| 90671 |
|
251 |
251 |
$1.77 |
| 90656 |
|
766 |
766 |
$0.43 |
| 90619 |
|
37 |
37 |
$0.09 |
| 90661 |
|
129 |
129 |
$0.09 |
| 3008F |
|
6,515 |
6,510 |
$0.00 |
| 90716 |
|
1,771 |
1,768 |
$0.00 |
| 90744 |
|
774 |
770 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,201 |
2,197 |
$0.00 |
| 99000 |
|
677 |
677 |
$0.00 |
| 1000F |
|
457 |
457 |
$0.00 |
| 1036F |
|
443 |
443 |
$0.00 |
| 90651 |
|
302 |
302 |
$0.00 |
| 90698 |
|
124 |
124 |
$0.00 |
| 90715 |
|
146 |
145 |
$0.00 |
| 90700 |
|
474 |
474 |
$0.00 |
| 3725F |
|
1,765 |
1,755 |
$0.00 |
| 90672 |
|
45 |
45 |
$0.00 |
| 90707 |
|
1,787 |
1,784 |
$0.00 |
| 90685 |
|
331 |
331 |
$0.00 |
| 90734 |
|
80 |
80 |
$0.00 |
| 99072 |
|
1,113 |
835 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
20 |
20 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
19 |
19 |
$0.00 |
| 90710 |
|
21 |
21 |
$0.00 |