| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,642 |
15,417 |
$681K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,427 |
4,931 |
$297K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,292 |
3,260 |
$275K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,692 |
2,675 |
$241K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,256 |
8,949 |
$193K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,306 |
2,187 |
$185K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,818 |
1,717 |
$82K |
| 99429 |
|
1,763 |
1,742 |
$62K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
489 |
487 |
$48K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,771 |
2,801 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,804 |
1,701 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,606 |
1,521 |
$23K |
| 92552 |
|
3,458 |
3,422 |
$19K |
| 99222 |
Initial hospital care, per day, moderate complexity |
160 |
160 |
$17K |
| 90461 |
|
2,301 |
1,920 |
$15K |
| 0071A |
|
361 |
359 |
$14K |
| 90480 |
|
476 |
472 |
$13K |
| 0072A |
|
308 |
303 |
$13K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,469 |
1,357 |
$12K |
| 99460 |
|
131 |
131 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
170 |
170 |
$10K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
127 |
127 |
$10K |
| 0154A |
|
247 |
246 |
$10K |
| 0081A |
|
217 |
217 |
$8K |
| 0082A |
|
159 |
159 |
$6K |
| 0073A |
|
115 |
115 |
$5K |
| 0173A |
|
116 |
116 |
$5K |
| 87428 |
|
58 |
58 |
$4K |
| 99381 |
|
42 |
41 |
$4K |
| 0083A |
|
80 |
80 |
$3K |
| 96160 |
|
625 |
617 |
$1K |
| 99050 |
|
204 |
193 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
34 |
31 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14 |
12 |
$691.88 |
| 90619 |
|
55 |
55 |
$638.52 |
| 0001A |
|
14 |
14 |
$560.00 |
| 0124A |
|
14 |
14 |
$560.00 |
| 90670 |
|
997 |
987 |
$433.91 |
| 99051 |
|
52 |
52 |
$406.46 |
| 96380 |
|
12 |
12 |
$241.48 |
| 90710 |
|
668 |
665 |
$241.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
16 |
$179.00 |
| 91319 |
|
171 |
169 |
$136.63 |
| 91320 |
|
29 |
29 |
$131.15 |
| 97802 |
|
628 |
620 |
$91.56 |
| 90680 |
|
1,060 |
1,045 |
$90.80 |
| 90698 |
|
398 |
396 |
$86.40 |
| 97803 |
|
112 |
111 |
$52.70 |
| 90633 |
|
703 |
697 |
$36.31 |
| 90686 |
|
4,492 |
4,460 |
$20.09 |
| 91307 |
|
897 |
868 |
$1.44 |
| 90651 |
|
531 |
530 |
$1.15 |
| 90677 |
|
385 |
369 |
$0.87 |
| 90697 |
|
617 |
607 |
$0.80 |
| 90671 |
|
277 |
275 |
$0.68 |
| 91317 |
|
116 |
116 |
$0.20 |
| 91318 |
|
118 |
118 |
$0.14 |
| 90696 |
|
139 |
139 |
$0.07 |
| 90744 |
|
157 |
157 |
$0.07 |
| 90380 |
|
18 |
18 |
$0.05 |
| 91308 |
|
504 |
495 |
$0.05 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,602 |
3,557 |
$0.01 |
| 90734 |
|
28 |
28 |
$0.01 |
| 90700 |
|
91 |
91 |
$0.01 |
| 90648 |
|
86 |
86 |
$0.01 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
221 |
216 |
$0.00 |
| 3008F |
|
1,280 |
1,129 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 91315 |
|
246 |
245 |
$0.00 |
| 3074F |
|
259 |
257 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
12 |
12 |
$0.00 |
| 96161 |
|
87 |
82 |
$0.00 |
| 90656 |
|
531 |
527 |
$0.00 |
| 1125F |
|
44 |
38 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
14 |
14 |
$0.00 |
| 3078F |
|
262 |
260 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
4,811 |
4,172 |
$0.00 |
| 99173 |
|
3,049 |
3,014 |
$0.00 |
| 1159F |
|
1,857 |
1,643 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
472 |
436 |
$0.00 |
| 99188 |
|
215 |
214 |
$0.00 |
| 91300 |
|
47 |
42 |
$0.00 |
| 90685 |
|
51 |
51 |
$0.00 |
| 84030 |
|
14 |
14 |
$0.00 |
| 91312 |
|
14 |
14 |
$0.00 |
| 90655 |
|
15 |
15 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
39 |
38 |
$0.00 |