| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,046 |
9,265 |
$842K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,559 |
4,704 |
$613K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,777 |
5,064 |
$274K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,564 |
1,524 |
$195K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,586 |
1,375 |
$159K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,760 |
3,440 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
829 |
794 |
$93K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
520 |
492 |
$63K |
| 97802 |
|
2,420 |
2,145 |
$28K |
| 97803 |
|
2,168 |
1,969 |
$23K |
| 90461 |
|
1,357 |
1,236 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
472 |
427 |
$13K |
| 99401 |
|
654 |
564 |
$11K |
| 99222 |
Initial hospital care, per day, moderate complexity |
90 |
82 |
$8K |
| 96160 |
|
1,709 |
1,229 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
616 |
580 |
$7K |
| H0049 |
Alcohol and/or drug screening |
952 |
822 |
$7K |
| 92558 |
|
1,441 |
1,322 |
$5K |
| 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 |
591 |
509 |
$4K |
| 99381 |
|
85 |
72 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
77 |
66 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
245 |
153 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
370 |
334 |
$2K |
| 99383 |
|
21 |
17 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
171 |
135 |
$2K |
| 99384 |
|
17 |
15 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
152 |
137 |
$823.89 |
| 83655 |
|
86 |
86 |
$519.58 |
| 99051 |
|
74 |
70 |
$478.60 |
| 96127 |
|
1,177 |
851 |
$418.06 |
| 36415 |
Collection of venous blood by venipuncture |
66 |
64 |
$310.00 |
| 0001A |
|
13 |
13 |
$280.00 |
| 90670 |
|
518 |
502 |
$180.05 |
| 85018 |
|
88 |
88 |
$125.49 |
| 0002A |
|
12 |
12 |
$120.00 |
| 90686 |
|
438 |
409 |
$59.95 |
| 96161 |
|
98 |
75 |
$58.86 |
| 90648 |
|
235 |
225 |
$10.26 |
| 90671 |
|
100 |
97 |
$0.01 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
76 |
66 |
$0.01 |
| 99173 |
|
1,553 |
1,279 |
$0.00 |
| 99177 |
|
1,611 |
1,155 |
$0.00 |
| 90707 |
|
38 |
37 |
$0.00 |
| 90633 |
|
195 |
192 |
$0.00 |
| 90700 |
|
54 |
54 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
34 |
19 |
$0.00 |
| 90473 |
|
24 |
24 |
$0.00 |
| 91300 |
|
21 |
15 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90656 |
|
83 |
83 |
$0.00 |
| 90677 |
|
81 |
81 |
$0.00 |
| 90680 |
|
452 |
437 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
3,185 |
2,506 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
630 |
408 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
2,820 |
2,223 |
$0.00 |
| 90698 |
|
147 |
140 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
146 |
142 |
$0.00 |
| 1111F |
|
487 |
442 |
$0.00 |
| 36416 |
|
72 |
72 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
509 |
415 |
$0.00 |
| 90716 |
|
31 |
31 |
$0.00 |
| 90744 |
|
60 |
55 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
16 |
16 |
$0.00 |
| 90723 |
|
26 |
26 |
$0.00 |