| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,277 |
20,203 |
$1.45M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23,991 |
23,180 |
$1.12M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,546 |
11,021 |
$1.11M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,361 |
10,114 |
$1.02M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,035 |
9,589 |
$924K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,355 |
7,083 |
$771K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,810 |
17,061 |
$704K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,828 |
1,748 |
$185K |
| 99381 |
|
1,753 |
1,559 |
$155K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,566 |
4,387 |
$47K |
| 99429 |
|
4,633 |
3,451 |
$42K |
| 92587 |
|
1,965 |
1,738 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,896 |
1,838 |
$27K |
| 80061 |
Lipid panel |
1,677 |
1,611 |
$25K |
| 85018 |
|
7,638 |
7,439 |
$20K |
| 96127 |
|
6,227 |
5,973 |
$18K |
| 96161 |
|
7,408 |
6,949 |
$12K |
| 99383 |
|
71 |
69 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
163 |
153 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
312 |
275 |
$5K |
| 99173 |
|
1,750 |
1,684 |
$5K |
| 0071A |
|
125 |
98 |
$5K |
| 0072A |
|
80 |
62 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$3K |
| 90677 |
|
696 |
666 |
$3K |
| 83655 |
|
315 |
303 |
$2K |
| 99460 |
|
28 |
25 |
$2K |
| 90651 |
|
2,678 |
2,604 |
$2K |
| 96160 |
|
1,666 |
1,628 |
$2K |
| 99384 |
|
13 |
12 |
$2K |
| 90461 |
|
123 |
115 |
$1K |
| 90620 |
|
780 |
744 |
$914.76 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
51 |
47 |
$838.28 |
| 90480 |
|
20 |
20 |
$792.00 |
| 0001A |
|
14 |
14 |
$572.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
37 |
$524.11 |
| 81002 |
|
154 |
151 |
$505.70 |
| 90619 |
|
491 |
479 |
$503.02 |
| 90670 |
|
6,972 |
6,833 |
$475.86 |
| 92551 |
|
226 |
223 |
$458.25 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
210 |
208 |
$374.50 |
| 94761 |
|
41 |
40 |
$306.79 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
19 |
$275.25 |
| 90734 |
|
1,748 |
1,696 |
$141.53 |
| 94760 |
|
74 |
71 |
$122.90 |
| 90688 |
|
2,439 |
2,369 |
$114.86 |
| 82948 |
|
32 |
31 |
$83.41 |
| 36416 |
|
416 |
407 |
$1.30 |
| 90715 |
|
746 |
725 |
$0.05 |
| 91300 |
|
50 |
45 |
$0.04 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
22,012 |
21,424 |
$0.01 |
| 91311 |
|
13 |
13 |
$0.01 |
| 90744 |
|
1,262 |
1,214 |
$0.00 |
| 90698 |
|
3,803 |
3,703 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
6,299 |
6,157 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
5,145 |
5,089 |
$0.00 |
| 90696 |
|
696 |
674 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,150 |
2,061 |
$0.00 |
| 90647 |
|
2,699 |
2,643 |
$0.00 |
| 90723 |
|
1,468 |
1,429 |
$0.00 |
| 90686 |
|
59 |
50 |
$0.00 |
| 90716 |
|
657 |
642 |
$0.00 |
| 91307 |
|
180 |
161 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
16 |
$0.00 |
| 90633 |
|
3,527 |
3,418 |
$0.00 |
| 90710 |
|
1,091 |
1,052 |
$0.00 |
| 5250F |
|
1,866 |
1,814 |
$0.00 |
| 90681 |
|
2,480 |
2,421 |
$0.00 |
| 90707 |
|
610 |
592 |
$0.00 |
| 90713 |
|
17 |
17 |
$0.00 |
| 90685 |
|
41 |
40 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
294 |
269 |
$0.00 |
| 92015 |
Determination of refractive state |
1,374 |
1,056 |
$0.00 |
| 90700 |
|
221 |
218 |
$0.00 |
| 90649 |
|
68 |
63 |
$0.00 |