| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,067 |
945 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,244 |
1,138 |
$78K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
452 |
434 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
418 |
397 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
360 |
342 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
294 |
283 |
$30K |
| S9470 |
Nutritional counseling, dietitian visit |
1,297 |
1,252 |
$28K |
| S9451 |
Exercise classes, non-physician provider, per session |
880 |
850 |
$14K |
| 92551 |
|
951 |
901 |
$8K |
| Q3014 |
Telehealth originating site facility fee |
314 |
304 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,593 |
798 |
$6K |
| 92552 |
|
209 |
200 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
421 |
360 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
83 |
73 |
$3K |
| 99173 |
|
1,173 |
1,110 |
$2K |
| 90670 |
|
323 |
323 |
$2K |
| 90686 |
|
302 |
296 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
53 |
$2K |
| 0001A |
|
66 |
65 |
$2K |
| 90648 |
|
321 |
321 |
$2K |
| 99381 |
|
13 |
13 |
$2K |
| 90723 |
|
192 |
192 |
$1K |
| 0002A |
|
26 |
26 |
$1K |
| 90707 |
|
148 |
148 |
$1K |
| 99461 |
|
13 |
12 |
$1K |
| 90633 |
|
153 |
153 |
$990.00 |
| 90716 |
|
137 |
137 |
$930.00 |
| 90461 |
|
236 |
171 |
$912.33 |
| 96127 |
|
169 |
169 |
$680.68 |
| 0071A |
|
17 |
17 |
$680.00 |
| 0072A |
|
17 |
17 |
$680.00 |
| 90734 |
|
109 |
109 |
$650.00 |
| 90681 |
|
83 |
83 |
$600.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
48 |
37 |
$594.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
38 |
$580.20 |
| 90651 |
|
68 |
68 |
$480.00 |
| 99072 |
|
2,977 |
2,603 |
$466.47 |
| 96161 |
|
253 |
232 |
$431.64 |
| 99177 |
|
49 |
49 |
$370.08 |
| 96160 |
|
207 |
206 |
$152.60 |
| 90700 |
|
44 |
33 |
$110.00 |
| 90620 |
|
12 |
12 |
$90.00 |
| 90696 |
|
12 |
12 |
$70.00 |
| 80061 |
Lipid panel |
200 |
190 |
$0.00 |
| 99188 |
|
98 |
92 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$0.00 |
| 99051 |
|
72 |
67 |
$0.00 |
| 83655 |
|
373 |
371 |
$0.00 |
| 90685 |
|
60 |
60 |
$0.00 |
| 91300 |
|
53 |
49 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
554 |
510 |
$0.00 |
| 88738 |
|
80 |
80 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
49 |
43 |
$0.00 |
| 85018 |
|
39 |
39 |
$0.00 |
| 85013 |
|
27 |
27 |
$0.00 |
| 91307 |
|
47 |
46 |
$0.00 |