| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,704 |
15,980 |
$1.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,224 |
8,727 |
$836K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,412 |
5,404 |
$426K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,228 |
5,161 |
$356K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,083 |
4,077 |
$324K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,519 |
2,516 |
$212K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,874 |
5,868 |
$156K |
| D0190 |
|
8,043 |
8,010 |
$118K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,586 |
6,531 |
$55K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,048 |
2,036 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
612 |
610 |
$22K |
| 36416 |
|
3,257 |
3,113 |
$19K |
| 99460 |
|
339 |
336 |
$18K |
| 99188 |
|
2,622 |
2,615 |
$18K |
| 83655 |
|
1,442 |
1,439 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,543 |
1,543 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
978 |
968 |
$13K |
| 96127 |
|
4,251 |
3,727 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
283 |
281 |
$11K |
| 90480 |
|
239 |
238 |
$9K |
| 90677 |
|
361 |
361 |
$6K |
| 99051 |
|
1,246 |
1,208 |
$5K |
| 90620 |
|
264 |
264 |
$5K |
| 80061 |
Lipid panel |
452 |
448 |
$4K |
| 87428 |
|
130 |
130 |
$4K |
| 0071A |
|
91 |
91 |
$3K |
| 17110 |
|
40 |
38 |
$2K |
| 0072A |
|
63 |
63 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
180 |
179 |
$2K |
| 90474 |
|
720 |
718 |
$2K |
| 85018 |
|
1,006 |
1,001 |
$2K |
| 94010 |
|
88 |
87 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
92 |
92 |
$1K |
| 81002 |
|
451 |
430 |
$1K |
| 90686 |
|
3,959 |
3,954 |
$1K |
| 0081A |
|
25 |
25 |
$883.18 |
| 54150 |
|
14 |
14 |
$787.64 |
| 99463 |
|
12 |
12 |
$751.20 |
| 69210 |
|
27 |
27 |
$725.88 |
| 90651 |
|
731 |
726 |
$630.76 |
| 96380 |
|
24 |
24 |
$436.88 |
| 90461 |
|
2,347 |
2,347 |
$264.00 |
| 96161 |
|
384 |
382 |
$238.33 |
| 91320 |
|
28 |
28 |
$165.60 |
| 91318 |
|
44 |
43 |
$163.20 |
| 91319 |
|
31 |
31 |
$150.40 |
| 90685 |
|
687 |
684 |
$87.24 |
| 90734 |
|
504 |
503 |
$57.05 |
| 99173 |
|
3,937 |
3,931 |
$42.00 |
| 90656 |
|
247 |
247 |
$22.35 |
| G9002 |
Coordinated care fee, maintenance rate |
474 |
450 |
$0.59 |
| 98966 |
|
225 |
212 |
$0.34 |
| G9007 |
Coordinated care fee, scheduled team conference |
15 |
12 |
$0.02 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,004 |
2,997 |
$0.01 |
| 90680 |
|
2,308 |
2,305 |
$0.00 |
| 90698 |
|
2,451 |
2,449 |
$0.00 |
| 90716 |
|
1,580 |
1,575 |
$0.00 |
| 90744 |
|
1,773 |
1,769 |
$0.00 |
| 2015F |
|
1,056 |
1,053 |
$0.00 |
| 3048F |
|
231 |
230 |
$0.00 |
| 90696 |
|
269 |
269 |
$0.00 |
| 90619 |
|
204 |
204 |
$0.00 |
| 91307 |
|
166 |
162 |
$0.00 |
| 98967 |
|
14 |
14 |
$0.00 |
| 90688 |
|
111 |
110 |
$0.00 |
| 90700 |
|
507 |
506 |
$0.00 |
| 90670 |
|
2,960 |
2,953 |
$0.00 |
| 90707 |
|
1,583 |
1,578 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
293 |
243 |
$0.00 |
| 90633 |
|
1,708 |
1,705 |
$0.00 |
| 90715 |
|
204 |
203 |
$0.00 |
| 91308 |
|
96 |
92 |
$0.00 |
| 90648 |
|
300 |
300 |
$0.00 |
| 91300 |
|
13 |
13 |
$0.00 |
| G9001 |
Coordinated care fee, initial rate |
12 |
12 |
$0.00 |