| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,225 |
24,287 |
$3.25M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,561 |
5,521 |
$308K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,402 |
2,391 |
$265K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,167 |
2,161 |
$262K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,002 |
7,716 |
$219K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
757 |
754 |
$84K |
| 99051 |
|
14,590 |
12,471 |
$83K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
568 |
566 |
$70K |
| 92551 |
|
4,417 |
4,406 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,887 |
3,595 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
313 |
310 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
333 |
318 |
$34K |
| 92552 |
|
741 |
738 |
$22K |
| 99188 |
|
1,880 |
1,856 |
$20K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
3,191 |
3,038 |
$17K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,014 |
2,994 |
$14K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
620 |
614 |
$12K |
| 96160 |
|
4,000 |
3,962 |
$11K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
783 |
694 |
$11K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
661 |
653 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
802 |
416 |
$9K |
| 99401 |
|
1,438 |
1,421 |
$8K |
| 86580 |
|
1,030 |
1,023 |
$8K |
| 69210 |
|
164 |
162 |
$8K |
| 0002A |
|
180 |
180 |
$8K |
| 0001A |
|
174 |
174 |
$7K |
| 0072A |
|
156 |
156 |
$7K |
| 94060 |
|
86 |
84 |
$5K |
| 99407 |
|
2,053 |
2,041 |
$3K |
| 0071A |
|
80 |
80 |
$3K |
| 90686 |
|
2,062 |
2,058 |
$3K |
| 0003A |
|
60 |
60 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
515 |
504 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
68 |
66 |
$1K |
| 90661 |
|
234 |
234 |
$853.38 |
| 90658 |
|
1,481 |
1,479 |
$448.10 |
| 90660 |
|
21 |
21 |
$418.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$360.00 |
| 90672 |
|
144 |
144 |
$225.57 |
| 90620 |
|
240 |
240 |
$204.75 |
| 90715 |
|
64 |
64 |
$133.83 |
| 90707 |
|
18 |
18 |
$89.60 |
| 36410 |
|
13 |
13 |
$87.62 |
| 90744 |
|
341 |
341 |
$28.31 |
| H0049 |
Alcohol and/or drug screening |
72 |
72 |
$24.00 |
| H0001 |
Alcohol and/or drug assessment |
2,303 |
2,290 |
$0.48 |
| 90651 |
|
516 |
515 |
$0.00 |
| 90656 |
|
178 |
178 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
59 |
58 |
$0.00 |
| 91307 |
|
268 |
258 |
$0.00 |
| 90657 |
|
110 |
109 |
$0.00 |
| H0026 |
Alcohol and/or drug prevention process service, community-based (delivery of services to develop skills of impactors) |
70 |
70 |
$0.00 |
| H0024 |
Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude) |
23 |
23 |
$0.00 |
| 90734 |
|
388 |
388 |
$0.00 |
| 90713 |
|
51 |
51 |
$0.00 |
| 91300 |
|
450 |
391 |
$0.00 |
| 90700 |
|
173 |
173 |
$0.00 |
| 99072 |
|
163 |
158 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
231 |
212 |
$0.00 |
| 99177 |
|
65 |
64 |
$0.00 |
| 94664 |
|
30 |
28 |
$0.00 |
| 90648 |
|
26 |
26 |
$0.00 |
| 90670 |
|
52 |
52 |
$0.00 |