| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,740 |
5,488 |
$475K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,354 |
1,206 |
$148K |
| 99254 |
|
883 |
854 |
$128K |
| 99233 |
Prolong inpt eval add15 m |
1,361 |
821 |
$115K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
401 |
398 |
$57K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,055 |
1,275 |
$46K |
| 99050 |
|
4,552 |
3,753 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
226 |
226 |
$22K |
| 99173 |
|
456 |
454 |
$15K |
| 92552 |
|
529 |
526 |
$14K |
| 90461 |
|
298 |
283 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
120 |
120 |
$13K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
27 |
26 |
$12K |
| 99215 |
Prolong outpt/office vis |
95 |
84 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
103 |
100 |
$10K |
| 0011A |
|
255 |
254 |
$8K |
| 0012A |
|
216 |
213 |
$7K |
| 96160 |
|
1,235 |
1,225 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
92 |
92 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
216 |
124 |
$4K |
| 0071A |
|
104 |
104 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
270 |
264 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
210 |
205 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
73 |
72 |
$3K |
| 0001A |
|
81 |
80 |
$3K |
| 0013A |
|
73 |
72 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$2K |
| 97802 |
|
101 |
101 |
$2K |
| 0072A |
|
55 |
52 |
$2K |
| 92551 |
|
173 |
173 |
$2K |
| 96127 |
|
314 |
309 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
301 |
290 |
$2K |
| 0003A |
|
37 |
37 |
$1K |
| 0002A |
|
35 |
35 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
22 |
$909.64 |
| 90480 |
|
16 |
16 |
$569.60 |
| 90630 |
|
27 |
27 |
$557.73 |
| 0124A |
|
12 |
12 |
$502.40 |
| 90686 |
|
118 |
116 |
$311.11 |
| 90473 |
|
13 |
13 |
$270.12 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
29 |
28 |
$233.23 |
| 90688 |
|
124 |
123 |
$221.73 |
| S8301 |
Infection control supplies, not otherwise specified |
70 |
70 |
$200.90 |
| 90734 |
|
27 |
27 |
$136.21 |
| 96161 |
|
29 |
29 |
$123.10 |
| 99000 |
|
252 |
237 |
$116.94 |
| 90658 |
|
15 |
15 |
$70.68 |
| 90672 |
|
26 |
26 |
$54.00 |
| 81002 |
|
16 |
14 |
$48.72 |
| 91301 |
|
537 |
517 |
$2.90 |
| 91300 |
|
182 |
178 |
$0.90 |
| 91307 |
|
176 |
167 |
$0.85 |
| 90649 |
|
57 |
57 |
$0.42 |
| 90620 |
|
26 |
26 |
$0.17 |
| 91322 |
|
14 |
14 |
$0.14 |
| 91312 |
|
12 |
12 |
$0.08 |
| 91308 |
|
15 |
15 |
$0.03 |
| 91305 |
|
12 |
12 |
$0.02 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
407 |
405 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
30 |
30 |
$0.00 |
| 94760 |
|
75 |
65 |
$0.00 |
| S9449 |
Weight management classes, non-physician provider, per session |
93 |
93 |
$0.00 |
| 97803 |
|
14 |
14 |
$0.00 |