| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,661 |
30,858 |
$1.74M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,515 |
12,319 |
$907K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,866 |
5,621 |
$112K |
| 99385 |
|
1,006 |
984 |
$52K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,748 |
4,527 |
$50K |
| 90686 |
|
4,512 |
4,285 |
$44K |
| 97802 |
|
1,692 |
1,651 |
$42K |
| 90461 |
|
2,294 |
2,212 |
$31K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
623 |
597 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
876 |
862 |
$26K |
| 97803 |
|
935 |
903 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
779 |
699 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
626 |
596 |
$21K |
| 90834 |
Psychotherapy, 45 minutes with patient |
650 |
397 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
353 |
335 |
$17K |
| 99442 |
|
1,573 |
1,472 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,446 |
1,393 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
585 |
566 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
9,021 |
8,585 |
$16K |
| 99386 |
|
234 |
231 |
$14K |
| 92551 |
|
1,942 |
1,860 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
402 |
371 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
195 |
190 |
$11K |
| 90651 |
|
325 |
286 |
$9K |
| 90750 |
|
55 |
52 |
$8K |
| 99383 |
|
200 |
198 |
$7K |
| 90715 |
|
188 |
186 |
$6K |
| 90619 |
|
47 |
41 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
164 |
161 |
$5K |
| 96127 |
|
1,098 |
1,040 |
$3K |
| 90671 |
|
53 |
53 |
$2K |
| 99384 |
|
42 |
42 |
$2K |
| 90716 |
|
115 |
110 |
$2K |
| 90734 |
|
102 |
99 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
88 |
84 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
285 |
236 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
153 |
148 |
$2K |
| 90670 |
|
197 |
158 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
130 |
120 |
$1K |
| 90633 |
|
413 |
372 |
$990.22 |
| 90746 |
|
13 |
12 |
$833.88 |
| 3078F |
|
28,577 |
26,040 |
$773.29 |
| 71046 |
Radiologic examination, chest; 2 views |
41 |
38 |
$691.78 |
| 3074F |
|
26,335 |
23,988 |
$689.25 |
| 99173 |
|
2,759 |
2,560 |
$681.00 |
| 92558 |
|
196 |
178 |
$612.98 |
| 93000 |
|
37 |
37 |
$518.93 |
| 90674 |
|
27 |
27 |
$485.76 |
| 90698 |
|
149 |
120 |
$470.64 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
15 |
$431.59 |
| 90677 |
|
24 |
24 |
$382.50 |
| 1159F |
|
41,950 |
36,489 |
$341.00 |
| 97804 |
|
138 |
125 |
$323.32 |
| 99080 |
|
6,865 |
6,650 |
$284.75 |
| 99441 |
|
53 |
53 |
$273.18 |
| 1160F |
|
35,542 |
31,696 |
$254.00 |
| 3079F |
|
6,174 |
5,754 |
$229.00 |
| 90620 |
|
12 |
12 |
$211.32 |
| 90658 |
|
45 |
45 |
$195.28 |
| 3075F |
|
5,396 |
5,111 |
$179.00 |
| 3077F |
|
3,183 |
2,942 |
$132.00 |
| 90656 |
|
15 |
15 |
$107.93 |
| 99443 |
|
13 |
12 |
$102.27 |
| 4010F |
|
3,545 |
3,164 |
$98.00 |
| 3008F |
|
24,195 |
22,117 |
$90.00 |
| 90680 |
|
14 |
14 |
$84.53 |
| 3044F |
|
2,910 |
2,706 |
$65.00 |
| 90713 |
|
18 |
16 |
$63.07 |
| 90744 |
|
50 |
42 |
$52.72 |
| 3080F |
|
576 |
545 |
$22.00 |
| 90696 |
|
14 |
14 |
$21.05 |
| 82962 |
|
84 |
73 |
$10.04 |
| 99000 |
|
1,763 |
1,722 |
$7.59 |
| 1125F |
|
739 |
696 |
$2.00 |
| 4008F |
|
930 |
774 |
$1.00 |
| 1036F |
|
5,823 |
5,628 |
$0.00 |
| 2001F |
|
9,958 |
9,352 |
$0.00 |
| 2010F |
|
29,282 |
26,354 |
$0.00 |
| 1000F |
|
4,982 |
4,897 |
$0.00 |
| 2000F |
|
16,883 |
15,523 |
$0.00 |
| 4037F |
|
4,000 |
3,936 |
$0.00 |
| 3049F |
|
668 |
628 |
$0.00 |
| 36416 |
|
56 |
53 |
$0.00 |
| 3011F |
|
2,299 |
2,198 |
$0.00 |
| 3351F |
|
1,929 |
1,908 |
$0.00 |
| 3754F |
|
118 |
117 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,499 |
1,481 |
$0.00 |
| 3014F |
|
104 |
96 |
$0.00 |
| 3048F |
|
685 |
640 |
$0.00 |
| 3061F |
|
120 |
103 |
$0.00 |
| 4011F |
|
105 |
93 |
$0.00 |
| 1034F |
|
58 |
56 |
$0.00 |
| 99493 |
|
56 |
51 |
$0.00 |
| 1126F |
|
121 |
118 |
$0.00 |
| 1030F |
|
32 |
31 |
$0.00 |
| 4086F |
|
57 |
44 |
$0.00 |
| 3354F |
|
26 |
26 |
$0.00 |
| 1111F |
|
20 |
20 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
12 |
12 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
13 |
13 |
$0.00 |
| 3341F |
|
15 |
13 |
$0.00 |
| V5008 |
Hearing screening |
13 |
13 |
$0.00 |
| 3725F |
|
10,942 |
10,549 |
$0.00 |
| 3050F |
|
904 |
840 |
$0.00 |
| 3016F |
|
2,877 |
2,839 |
$0.00 |
| 4013F |
|
3,585 |
3,179 |
$0.00 |
| 3028F |
|
16,895 |
15,460 |
$0.00 |
| 0521F |
|
963 |
901 |
$0.00 |
| 1033F |
|
67 |
66 |
$0.00 |
| 3015F |
|
133 |
120 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
254 |
250 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
108 |
107 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
96 |
94 |
$0.00 |
| 96160 |
|
28 |
28 |
$0.00 |
| 3210F |
|
58 |
58 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
63 |
46 |
$0.00 |
| 99188 |
|
18 |
18 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
19 |
19 |
$0.00 |
| 2028F |
|
13 |
12 |
$0.00 |
| 90756 |
|
13 |
13 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |