| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,715 |
13,466 |
$140K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,018 |
8,192 |
$134K |
| 96156 |
|
7,080 |
7,008 |
$133K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,410 |
10,668 |
$123K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,232 |
4,953 |
$94K |
| G9920 |
Screening performed and negative |
6,262 |
6,188 |
$87K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,015 |
3,935 |
$78K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,888 |
1,817 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,389 |
2,369 |
$45K |
| 92552 |
|
5,830 |
5,693 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,416 |
1,401 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,670 |
9,451 |
$21K |
| 99381 |
|
234 |
221 |
$21K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,061 |
4,023 |
$14K |
| 90686 |
|
4,092 |
4,047 |
$14K |
| 96151 |
|
2,727 |
2,621 |
$12K |
| 92551 |
|
3,218 |
3,172 |
$8K |
| 90480 |
|
252 |
186 |
$7K |
| 90648 |
|
1,846 |
1,810 |
$6K |
| 90670 |
|
1,877 |
1,860 |
$6K |
| 90723 |
|
1,218 |
1,206 |
$5K |
| 99173 |
|
1,998 |
1,976 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,302 |
4,229 |
$4K |
| 90651 |
|
831 |
824 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,211 |
1,170 |
$4K |
| 86318 |
|
1,477 |
1,345 |
$3K |
| 99383 |
|
108 |
101 |
$3K |
| 0154A |
|
115 |
69 |
$3K |
| 0124A |
|
111 |
67 |
$3K |
| 0081A |
|
124 |
84 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
472 |
470 |
$2K |
| 90681 |
|
420 |
416 |
$2K |
| 90633 |
|
1,000 |
991 |
$2K |
| 90680 |
|
449 |
443 |
$2K |
| 99406 |
|
1,712 |
1,705 |
$2K |
| 90461 |
|
220 |
213 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,864 |
6,678 |
$2K |
| 96150 |
|
407 |
396 |
$2K |
| 99000 |
|
2,387 |
2,212 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,538 |
1,483 |
$1K |
| 0173A |
|
65 |
40 |
$1K |
| 0082A |
|
62 |
46 |
$1K |
| 99382 |
|
33 |
33 |
$1K |
| 90685 |
|
195 |
178 |
$1K |
| 99215 |
Prolong outpt/office vis |
64 |
62 |
$1K |
| 90710 |
|
640 |
632 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
328 |
324 |
$1K |
| 0083A |
|
39 |
27 |
$920.00 |
| 0073A |
|
38 |
25 |
$840.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,110 |
1,097 |
$814.42 |
| 86580 |
|
189 |
185 |
$607.28 |
| 90700 |
|
220 |
216 |
$553.00 |
| 0072A |
|
29 |
18 |
$530.00 |
| 90734 |
|
263 |
263 |
$504.00 |
| 99384 |
|
16 |
16 |
$444.36 |
| 0053A |
|
20 |
15 |
$440.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
810 |
409 |
$419.32 |
| 90696 |
|
169 |
168 |
$363.00 |
| 3008F |
|
7,114 |
6,995 |
$312.00 |
| 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 |
6,811 |
6,616 |
$270.00 |
| 90474 |
|
145 |
142 |
$266.64 |
| 90620 |
|
146 |
146 |
$252.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,941 |
3,869 |
$222.00 |
| 90748 |
|
37 |
36 |
$144.00 |
| 90715 |
|
56 |
56 |
$138.00 |
| 96127 |
|
48 |
48 |
$124.91 |
| 90713 |
|
33 |
32 |
$117.00 |
| 90744 |
|
26 |
25 |
$90.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
45 |
45 |
$82.76 |
| 90677 |
|
12 |
12 |
$72.00 |
| 90656 |
|
30 |
29 |
$72.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,074 |
2,041 |
$66.00 |
| 99070 |
|
208 |
200 |
$64.08 |
| 99408 |
|
1,581 |
1,559 |
$40.74 |
| 92081 |
|
369 |
366 |
$32.62 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
24 |
24 |
$29.38 |
| 99050 |
|
365 |
361 |
$29.00 |
| 90688 |
|
13 |
13 |
$20.00 |
| 90707 |
|
13 |
13 |
$18.00 |
| 90716 |
|
13 |
13 |
$18.00 |
| 90473 |
|
60 |
58 |
$16.16 |
| 91320 |
|
16 |
12 |
$10.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
223 |
218 |
$6.00 |
| 96160 |
|
5,793 |
5,697 |
$4.94 |
| 81002 |
|
42 |
40 |
$1.70 |
| 99442 |
|
161 |
153 |
$0.00 |
| 91312 |
|
27 |
25 |
$0.00 |
| 91308 |
|
159 |
147 |
$0.00 |
| 91317 |
|
26 |
26 |
$0.00 |
| 99441 |
|
125 |
119 |
$0.00 |
| 91307 |
|
60 |
59 |
$0.00 |
| 91319 |
|
79 |
57 |
$0.00 |
| 91315 |
|
39 |
39 |
$0.00 |
| 91305 |
|
15 |
14 |
$0.00 |
| 91318 |
|
54 |
40 |
$0.00 |