| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68,754 |
56,218 |
$5.30M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,928 |
20,080 |
$2.59M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,996 |
7,839 |
$1.06M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,956 |
6,795 |
$843K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,650 |
5,278 |
$762K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,371 |
5,210 |
$729K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,997 |
11,569 |
$684K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,786 |
15,508 |
$422K |
| 97803 |
|
23,190 |
20,662 |
$177K |
| 99381 |
|
1,094 |
995 |
$110K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
657 |
624 |
$82K |
| 90461 |
|
7,445 |
7,167 |
$64K |
| H0049 |
Alcohol and/or drug screening |
7,002 |
6,268 |
$50K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,760 |
1,696 |
$48K |
| 99383 |
|
317 |
304 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
204 |
190 |
$34K |
| 99384 |
|
190 |
178 |
$33K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,013 |
3,766 |
$21K |
| 99051 |
|
4,057 |
3,858 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,257 |
2,162 |
$19K |
| 92558 |
|
5,891 |
5,619 |
$18K |
| 99382 |
|
134 |
131 |
$18K |
| 96160 |
|
6,744 |
5,462 |
$14K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
2,300 |
2,010 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
2,841 |
2,769 |
$13K |
| 97802 |
|
1,860 |
1,704 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,049 |
1,891 |
$12K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,497 |
2,309 |
$11K |
| 99401 |
|
2,424 |
2,197 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
459 |
445 |
$9K |
| 99188 |
|
752 |
723 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,723 |
1,668 |
$7K |
| 83655 |
|
649 |
636 |
$3K |
| 96127 |
|
7,068 |
5,520 |
$3K |
| 0071A |
|
63 |
61 |
$1K |
| 0002A |
|
131 |
126 |
$1K |
| 0001A |
|
152 |
148 |
$1K |
| 90716 |
|
2,085 |
2,015 |
$1K |
| 85018 |
|
759 |
747 |
$815.22 |
| 92567 |
|
185 |
181 |
$669.93 |
| 0072A |
|
36 |
34 |
$640.00 |
| 90700 |
|
5,333 |
5,119 |
$570.94 |
| 90707 |
|
1,991 |
1,927 |
$492.97 |
| 90648 |
|
4,445 |
4,257 |
$478.50 |
| 90686 |
|
1,875 |
1,813 |
$289.69 |
| 90713 |
|
4,208 |
4,038 |
$274.53 |
| 99354 |
|
392 |
362 |
$268.45 |
| 90633 |
|
2,701 |
2,613 |
$218.03 |
| S9451 |
Exercise classes, non-physician provider, per session |
15,414 |
11,965 |
$188.11 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
6,005 |
4,506 |
$173.10 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
12,397 |
10,383 |
$136.58 |
| 90680 |
|
3,296 |
3,162 |
$135.77 |
| 1111F |
|
2,453 |
2,257 |
$129.60 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,286 |
3,660 |
$122.03 |
| 90744 |
|
2,008 |
1,905 |
$108.01 |
| 99173 |
|
12,091 |
9,849 |
$103.45 |
| 99050 |
|
15 |
15 |
$71.34 |
| 96161 |
|
246 |
206 |
$64.57 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,542 |
1,203 |
$50.00 |
| 99177 |
|
4,157 |
2,742 |
$40.64 |
| 90734 |
|
1,297 |
1,237 |
$24.01 |
| 90651 |
|
2,292 |
2,196 |
$24.01 |
| 91307 |
|
106 |
90 |
$0.09 |
| 90715 |
|
1,039 |
985 |
$0.07 |
| 90656 |
|
95 |
94 |
$0.01 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
413 |
393 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,004 |
592 |
$0.00 |
| 90670 |
|
4,007 |
3,822 |
$0.00 |
| 91300 |
|
186 |
157 |
$0.00 |
| 90710 |
|
173 |
170 |
$0.00 |
| 90685 |
|
15 |
12 |
$0.00 |
| 94664 |
|
113 |
107 |
$0.00 |
| 99358 |
Prolong nursin fac eval 15m |
102 |
100 |
$0.00 |
| 90671 |
|
43 |
42 |
$0.00 |
| 90473 |
|
12 |
12 |
$0.00 |
| 90674 |
|
52 |
41 |
$0.00 |
| 90620 |
|
1,506 |
1,475 |
$0.00 |
| 36416 |
|
778 |
748 |
$0.00 |
| 90723 |
|
303 |
299 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
812 |
684 |
$0.00 |
| 90619 |
|
447 |
445 |
$0.00 |
| 90677 |
|
573 |
561 |
$0.00 |
| 90698 |
|
65 |
63 |
$0.00 |
| 90697 |
|
48 |
47 |
$0.00 |
| 99402 |
|
44 |
43 |
$0.00 |