| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,597 |
42,099 |
$3.75M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,264 |
21,043 |
$2.69M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,160 |
15,477 |
$809K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,585 |
5,947 |
$743K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,423 |
4,629 |
$589K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,071 |
3,658 |
$430K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,639 |
11,439 |
$296K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,445 |
2,246 |
$294K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,248 |
2,960 |
$88K |
| 99381 |
|
772 |
705 |
$62K |
| 97803 |
|
8,797 |
7,436 |
$60K |
| 97802 |
|
10,125 |
7,137 |
$46K |
| 90461 |
|
5,830 |
4,932 |
$44K |
| 99383 |
|
312 |
295 |
$37K |
| 99051 |
|
5,856 |
5,233 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,571 |
3,118 |
$29K |
| H0049 |
Alcohol and/or drug screening |
2,832 |
2,486 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
116 |
108 |
$18K |
| 92558 |
|
5,036 |
4,480 |
$18K |
| 99401 |
|
1,427 |
1,299 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
508 |
440 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,003 |
2,518 |
$14K |
| 99382 |
|
123 |
117 |
$13K |
| 96160 |
|
4,970 |
3,752 |
$12K |
| 99384 |
|
114 |
98 |
$11K |
| 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 |
1,208 |
1,073 |
$8K |
| 99188 |
|
593 |
543 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,989 |
1,460 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,630 |
1,218 |
$6K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,974 |
1,559 |
$5K |
| 83655 |
|
849 |
824 |
$4K |
| 90700 |
|
3,609 |
3,046 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
507 |
390 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$3K |
| 90686 |
|
2,782 |
2,534 |
$2K |
| 99050 |
|
656 |
589 |
$2K |
| 90648 |
|
3,030 |
2,607 |
$2K |
| 94664 |
|
472 |
387 |
$2K |
| 90633 |
|
2,137 |
1,939 |
$1K |
| 90670 |
|
3,331 |
2,734 |
$1K |
| 96127 |
|
2,798 |
2,191 |
$921.47 |
| 90744 |
|
1,485 |
1,171 |
$916.89 |
| 0001A |
|
71 |
70 |
$880.00 |
| 90707 |
|
959 |
824 |
$879.83 |
| 85018 |
|
931 |
906 |
$866.54 |
| 90716 |
|
959 |
833 |
$843.24 |
| 0002A |
|
66 |
65 |
$760.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
7,521 |
6,168 |
$741.90 |
| 90671 |
|
498 |
489 |
$682.49 |
| 92567 |
|
259 |
150 |
$597.76 |
| 90713 |
|
2,455 |
2,057 |
$582.64 |
| 99354 |
|
249 |
225 |
$533.04 |
| 0072A |
|
72 |
38 |
$480.00 |
| 0071A |
|
50 |
43 |
$480.00 |
| 90651 |
|
825 |
689 |
$343.51 |
| 96161 |
|
819 |
647 |
$269.11 |
| S9451 |
Exercise classes, non-physician provider, per session |
9,694 |
7,286 |
$250.44 |
| 90473 |
|
56 |
56 |
$159.84 |
| 90698 |
|
87 |
86 |
$109.52 |
| 69210 |
|
22 |
12 |
$101.74 |
| 99177 |
|
6,816 |
5,547 |
$75.00 |
| 1111F |
|
2,059 |
1,772 |
$57.39 |
| 90680 |
|
2,075 |
1,730 |
$55.72 |
| 90685 |
|
71 |
44 |
$37.44 |
| 99173 |
|
4,007 |
3,128 |
$6.31 |
| 90660 |
|
14 |
14 |
$0.04 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,194 |
1,528 |
$0.00 |
| 90696 |
|
53 |
53 |
$0.00 |
| 36416 |
|
935 |
872 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,081 |
2,448 |
$0.00 |
| 91307 |
|
183 |
117 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
713 |
561 |
$0.00 |
| 90620 |
|
149 |
146 |
$0.00 |
| 90656 |
|
263 |
261 |
$0.00 |
| 90697 |
|
817 |
803 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
366 |
173 |
$0.00 |
| 99402 |
|
60 |
49 |
$0.00 |
| 90677 |
|
504 |
494 |
$0.00 |
| 90723 |
|
79 |
79 |
$0.00 |
| 90674 |
|
93 |
89 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
634 |
542 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
529 |
327 |
$0.00 |
| 90710 |
|
536 |
531 |
$0.00 |
| 90715 |
|
119 |
118 |
$0.00 |
| 90681 |
|
634 |
623 |
$0.00 |
| 90734 |
|
400 |
371 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
367 |
269 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
18 |
17 |
$0.00 |
| 90672 |
|
53 |
53 |
$0.00 |
| 91300 |
|
124 |
110 |
$0.00 |