| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56,514 |
49,295 |
$3.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,265 |
8,513 |
$790K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,137 |
7,951 |
$781K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,727 |
8,521 |
$744K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,117 |
6,726 |
$665K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,886 |
6,707 |
$636K |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
27,539 |
26,788 |
$87K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,527 |
3,432 |
$71K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,769 |
5,659 |
$66K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17,041 |
16,567 |
$59K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,178 |
2,071 |
$48K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
10,369 |
10,056 |
$40K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,636 |
2,554 |
$36K |
| 90670 |
|
4,114 |
4,016 |
$22K |
| 90671 |
|
713 |
697 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,703 |
3,579 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,464 |
5,292 |
$15K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
4,395 |
3,942 |
$15K |
| 85018 |
|
6,753 |
6,492 |
$11K |
| 92567 |
|
2,462 |
2,312 |
$10K |
| 90461 |
|
2,017 |
1,947 |
$9K |
| 99381 |
|
119 |
107 |
$9K |
| 83655 |
|
2,193 |
2,097 |
$8K |
| 87807 |
|
1,588 |
1,526 |
$8K |
| 90710 |
|
1,099 |
1,075 |
$5K |
| 99460 |
|
53 |
49 |
$5K |
| 90651 |
|
2,938 |
2,847 |
$5K |
| 90620 |
|
1,588 |
1,534 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
26 |
$2K |
| 96160 |
|
6,266 |
5,997 |
$2K |
| 81002 |
|
2,396 |
2,223 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
725 |
714 |
$2K |
| 99383 |
|
13 |
13 |
$2K |
| 90686 |
|
4,436 |
4,337 |
$1K |
| 87428 |
|
264 |
258 |
$1K |
| 90734 |
|
2,453 |
2,366 |
$935.32 |
| 0071A |
|
73 |
71 |
$750.00 |
| 0072A |
|
62 |
62 |
$675.00 |
| 90633 |
|
2,638 |
2,547 |
$541.05 |
| 96161 |
|
1,449 |
1,165 |
$479.04 |
| 99051 |
|
49 |
49 |
$425.49 |
| 90716 |
|
907 |
881 |
$304.41 |
| 90715 |
|
1,152 |
1,126 |
$298.02 |
| S9451 |
Exercise classes, non-physician provider, per session |
23,522 |
22,702 |
$279.09 |
| 99050 |
|
33 |
31 |
$278.16 |
| 0002A |
|
69 |
69 |
$225.00 |
| 90681 |
|
1,891 |
1,853 |
$178.36 |
| 90696 |
|
1,040 |
1,018 |
$120.47 |
| 99188 |
|
310 |
300 |
$115.72 |
| 90723 |
|
3,502 |
3,430 |
$88.75 |
| 90648 |
|
4,841 |
4,745 |
$70.84 |
| 90700 |
|
836 |
821 |
$30.41 |
| 81025 |
|
15 |
12 |
$27.46 |
| 0001A |
|
70 |
68 |
$25.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,600 |
4,396 |
$25.00 |
| 3008F |
|
2,623 |
2,575 |
$12.50 |
| 99177 |
|
9,715 |
9,411 |
$5.14 |
| 91307 |
|
164 |
147 |
$0.31 |
| 91300 |
|
234 |
213 |
$0.19 |
| G9919 |
Screening performed and positive and provision of recommendations |
100 |
100 |
$0.01 |
| 97802 |
|
129 |
128 |
$0.00 |
| 90674 |
|
37 |
33 |
$0.00 |
| 99000 |
|
70 |
70 |
$0.00 |
| 96127 |
|
14 |
14 |
$0.00 |
| 90707 |
|
888 |
863 |
$0.00 |
| 90672 |
|
257 |
255 |
$0.00 |
| 90685 |
|
85 |
80 |
$0.00 |