| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,993 |
9,133 |
$452K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,391 |
4,365 |
$180K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
644 |
637 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
731 |
726 |
$39K |
| 92551 |
|
2,379 |
2,372 |
$29K |
| G9920 |
Screening performed and negative |
794 |
793 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
409 |
406 |
$18K |
| 90658 |
|
1,663 |
1,646 |
$18K |
| 92552 |
|
1,235 |
1,229 |
$13K |
| 99173 |
|
3,229 |
3,217 |
$13K |
| 86580 |
|
2,860 |
2,843 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
139 |
139 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
95 |
92 |
$10K |
| 85013 |
|
2,873 |
2,848 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
64 |
63 |
$7K |
| 90649 |
|
296 |
295 |
$3K |
| 90700 |
|
262 |
259 |
$3K |
| 92081 |
|
222 |
221 |
$3K |
| 81005 |
|
1,710 |
1,702 |
$3K |
| 90657 |
|
188 |
187 |
$2K |
| 90713 |
|
178 |
176 |
$2K |
| 90620 |
|
108 |
107 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
28 |
22 |
$1K |
| 90670 |
|
126 |
125 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
26 |
$1K |
| 81003 |
|
119 |
119 |
$1K |
| 90734 |
|
88 |
88 |
$858.25 |
| 90648 |
|
55 |
55 |
$812.52 |
| 90644 |
|
39 |
39 |
$427.50 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
63 |
63 |
$306.13 |
| 90707 |
|
27 |
27 |
$270.00 |
| 90744 |
|
14 |
14 |
$191.16 |
| 90716 |
|
15 |
15 |
$157.50 |
| 90680 |
|
13 |
13 |
$90.00 |
| 3078F |
|
43 |
43 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |