| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,532 |
12,209 |
$760K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,035 |
3,936 |
$371K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,788 |
2,345 |
$211K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,753 |
2,230 |
$186K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,394 |
1,195 |
$103K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,950 |
4,351 |
$92K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,991 |
4,484 |
$77K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,005 |
1,657 |
$57K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
644 |
507 |
$52K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,208 |
1,117 |
$42K |
| 96127 |
|
1,970 |
1,603 |
$33K |
| 96160 |
|
2,009 |
1,646 |
$26K |
| 90686 |
|
1,810 |
1,563 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
442 |
427 |
$21K |
| 90670 |
|
1,648 |
1,407 |
$20K |
| 90680 |
|
950 |
794 |
$14K |
| 90697 |
|
818 |
698 |
$14K |
| 99381 |
|
123 |
113 |
$11K |
| 90633 |
|
695 |
569 |
$9K |
| 90648 |
|
1,008 |
814 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
115 |
87 |
$8K |
| 85018 |
|
3,651 |
3,000 |
$8K |
| 90677 |
|
376 |
328 |
$7K |
| 81002 |
|
2,259 |
1,881 |
$6K |
| 90723 |
|
652 |
545 |
$5K |
| 87428 |
|
57 |
56 |
$4K |
| 99000 |
|
232 |
150 |
$3K |
| 90707 |
|
231 |
182 |
$3K |
| 90700 |
|
222 |
196 |
$3K |
| 90716 |
|
231 |
180 |
$3K |
| 90734 |
|
229 |
158 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
100 |
95 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
58 |
56 |
$2K |
| 0071A |
|
76 |
54 |
$2K |
| 0072A |
|
64 |
52 |
$2K |
| 90696 |
|
142 |
101 |
$2K |
| 90710 |
|
132 |
93 |
$2K |
| 90651 |
|
142 |
98 |
$2K |
| 90715 |
|
118 |
91 |
$2K |
| 94060 |
|
24 |
13 |
$1K |
| 90681 |
|
136 |
116 |
$1K |
| 99050 |
|
264 |
215 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
32 |
32 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
131 |
106 |
$880.00 |
| 90685 |
|
84 |
58 |
$531.20 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$524.76 |
| 90658 |
|
65 |
43 |
$416.00 |
| 90381 |
|
22 |
16 |
$367.62 |
| 90656 |
|
22 |
13 |
$356.71 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34 |
28 |
$333.54 |
| 90619 |
|
19 |
19 |
$317.49 |
| 87430 |
|
13 |
13 |
$204.10 |
| 81005 |
|
108 |
75 |
$185.76 |
| 99173 |
|
21 |
21 |
$149.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$117.26 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,154 |
3,207 |
$71.32 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
375 |
249 |
$12.50 |
| 91307 |
|
84 |
70 |
$0.06 |
| 90461 |
|
1,904 |
1,515 |
$0.00 |
| 97802 |
|
42 |
42 |
$0.00 |