| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,362 |
8,204 |
$964K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
790 |
714 |
$113K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,771 |
3,743 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
820 |
820 |
$91K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
803 |
801 |
$88K |
| 92552 |
|
2,213 |
2,212 |
$73K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
357 |
357 |
$43K |
| 99402 |
|
3,572 |
3,467 |
$34K |
| 94060 |
|
359 |
295 |
$20K |
| 90461 |
|
718 |
715 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
185 |
172 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
160 |
160 |
$18K |
| 99051 |
|
2,875 |
2,643 |
$11K |
| 96127 |
|
2,775 |
2,772 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
186 |
184 |
$6K |
| 0072A |
|
115 |
115 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,448 |
1,444 |
$5K |
| 0071A |
|
102 |
102 |
$4K |
| 99441 |
|
116 |
113 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
307 |
303 |
$4K |
| 94644 |
|
100 |
96 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,744 |
2,715 |
$3K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
25 |
25 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
27 |
$2K |
| 96160 |
|
466 |
464 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
240 |
240 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 0124A |
|
26 |
25 |
$1K |
| S9470 |
Nutritional counseling, dietitian visit |
3,096 |
3,024 |
$994.21 |
| 99050 |
|
157 |
154 |
$876.86 |
| 69210 |
|
16 |
16 |
$798.87 |
| 81002 |
|
299 |
294 |
$748.16 |
| 99401 |
|
110 |
110 |
$731.30 |
| 83655 |
|
908 |
907 |
$728.68 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
105 |
100 |
$683.89 |
| 99173 |
|
1,712 |
1,709 |
$643.97 |
| 90686 |
|
1,180 |
1,176 |
$562.92 |
| 90670 |
|
65 |
65 |
$500.64 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
143 |
142 |
$199.86 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,626 |
1,615 |
$149.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
14 |
$148.86 |
| 90672 |
|
367 |
367 |
$55.76 |
| 90715 |
|
12 |
12 |
$37.58 |
| 94760 |
|
3,487 |
3,354 |
$21.94 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
73 |
69 |
$3.21 |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
12 |
12 |
$1.99 |
| 91312 |
|
22 |
21 |
$0.28 |
| 91307 |
|
88 |
80 |
$0.19 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
287 |
284 |
$0.00 |
| 3725F |
|
77 |
77 |
$0.00 |
| 94664 |
|
14 |
14 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
12 |
12 |
$0.00 |
| 99072 |
|
109 |
101 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 3008F |
|
1,504 |
1,493 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
99 |
99 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
12 |
12 |
$0.00 |
| 1000F |
|
12 |
12 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| 90619 |
|
29 |
29 |
$0.00 |