| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,052 |
10,290 |
$465K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,330 |
6,838 |
$419K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,367 |
4,312 |
$393K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,694 |
3,392 |
$344K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,791 |
2,754 |
$237K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,482 |
1,457 |
$131K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,378 |
8,153 |
$113K |
| 97802 |
|
6,975 |
6,858 |
$103K |
| 99381 |
|
518 |
456 |
$39K |
| 99188 |
|
1,470 |
1,428 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
554 |
528 |
$11K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
8,017 |
7,177 |
$5K |
| 80061 |
Lipid panel |
650 |
643 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
625 |
599 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
280 |
270 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
453 |
444 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,196 |
1,035 |
$2K |
| 99383 |
|
28 |
28 |
$2K |
| 90670 |
|
2,812 |
2,783 |
$2K |
| 83655 |
|
507 |
497 |
$2K |
| 82947 |
|
691 |
682 |
$2K |
| 90713 |
|
1,330 |
1,305 |
$1K |
| 99384 |
|
13 |
13 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$1K |
| 87807 |
|
75 |
75 |
$531.78 |
| 85018 |
|
617 |
603 |
$527.11 |
| 99242 |
|
13 |
12 |
$473.12 |
| 90686 |
|
815 |
793 |
$347.97 |
| 90715 |
|
188 |
175 |
$280.00 |
| 90707 |
|
675 |
660 |
$214.06 |
| 90633 |
|
1,729 |
1,701 |
$208.76 |
| 85014 |
|
185 |
183 |
$187.32 |
| 90700 |
|
1,876 |
1,851 |
$160.00 |
| 90698 |
|
1,110 |
1,104 |
$140.00 |
| 90734 |
|
213 |
210 |
$128.76 |
| 90648 |
|
1,362 |
1,348 |
$125.88 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$120.00 |
| 99173 |
|
2,193 |
1,953 |
$114.35 |
| 90716 |
|
664 |
652 |
$107.83 |
| 90685 |
|
492 |
485 |
$80.00 |
| 90710 |
|
559 |
545 |
$60.00 |
| 81002 |
|
80 |
75 |
$50.16 |
| 90651 |
|
660 |
636 |
$45.88 |
| 90696 |
|
338 |
331 |
$10.00 |
| 90681 |
|
1,075 |
1,052 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
7,739 |
6,919 |
$0.00 |
| 90744 |
|
1,614 |
1,584 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
231 |
164 |
$0.00 |