| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,843 |
14,216 |
$953K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,489 |
9,098 |
$394K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,674 |
4,095 |
$273K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,241 |
3,414 |
$218K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,947 |
7,725 |
$197K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,805 |
10,178 |
$143K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
1,420 |
1,252 |
$118K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,982 |
1,790 |
$117K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,230 |
3,032 |
$95K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,546 |
5,782 |
$93K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
370 |
241 |
$84K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,017 |
2,477 |
$53K |
| 92551 |
|
6,461 |
5,796 |
$45K |
| 99188 |
|
2,705 |
2,229 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
661 |
564 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,063 |
2,976 |
$32K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
715 |
636 |
$21K |
| 87631 |
|
176 |
145 |
$19K |
| 0240U |
|
228 |
148 |
$18K |
| 99381 |
|
190 |
165 |
$11K |
| 99173 |
|
6,532 |
5,802 |
$11K |
| 83655 |
|
1,594 |
1,210 |
$11K |
| 90474 |
|
1,370 |
1,174 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
80 |
71 |
$8K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
102 |
59 |
$8K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
112 |
97 |
$5K |
| 99383 |
|
71 |
61 |
$5K |
| 99382 |
|
66 |
58 |
$5K |
| 87807 |
|
513 |
375 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
144 |
109 |
$4K |
| 85018 |
|
2,254 |
1,754 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
212 |
174 |
$3K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
39 |
25 |
$2K |
| 69210 |
|
62 |
52 |
$2K |
| 96160 |
|
1,598 |
1,142 |
$2K |
| 94664 |
|
197 |
180 |
$2K |
| 54450 |
|
36 |
26 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
140 |
132 |
$1K |
| 97802 |
|
72 |
64 |
$1K |
| 0071A |
|
31 |
29 |
$856.61 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$846.31 |
| 99499 |
|
63 |
61 |
$681.00 |
| 96380 |
|
50 |
39 |
$524.94 |
| 36416 |
|
545 |
391 |
$451.84 |
| 0072A |
|
12 |
12 |
$397.22 |
| 0002A |
|
13 |
13 |
$369.07 |
| 90473 |
|
49 |
41 |
$325.44 |
| 0001A |
|
20 |
15 |
$257.30 |
| 96161 |
|
33 |
28 |
$203.51 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
21 |
15 |
$199.05 |
| 90686 |
|
3,013 |
2,525 |
$154.84 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
69 |
47 |
$90.64 |
| 90656 |
|
434 |
364 |
$34.81 |
| 81002 |
|
21 |
12 |
$30.03 |
| 90633 |
|
1,292 |
1,065 |
$0.16 |
| 90671 |
|
864 |
706 |
$0.02 |
| 90651 |
|
309 |
259 |
$0.01 |
| 90381 |
|
17 |
12 |
$0.01 |
| 90723 |
|
1,495 |
1,294 |
$0.00 |
| 90680 |
|
1,032 |
941 |
$0.00 |
| 91307 |
|
75 |
68 |
$0.00 |
| 90619 |
|
249 |
205 |
$0.00 |
| 90696 |
|
69 |
55 |
$0.00 |
| 90620 |
|
100 |
81 |
$0.00 |
| 90660 |
|
47 |
43 |
$0.00 |
| 90670 |
|
1,935 |
1,711 |
$0.00 |
| 91300 |
|
75 |
49 |
$0.00 |
| 90648 |
|
2,646 |
2,252 |
$0.00 |
| 90710 |
|
754 |
638 |
$0.00 |
| 90681 |
|
113 |
98 |
$0.00 |
| 90700 |
|
88 |
81 |
$0.00 |
| 90715 |
|
29 |
28 |
$0.00 |