| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,968 |
11,433 |
$762K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,577 |
4,276 |
$405K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,047 |
4,028 |
$324K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,472 |
3,448 |
$246K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,473 |
2,467 |
$193K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
675 |
675 |
$57K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,003 |
1,982 |
$32K |
| 99381 |
|
237 |
234 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
956 |
484 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
425 |
419 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
961 |
938 |
$11K |
| 96127 |
|
3,398 |
3,396 |
$10K |
| 87428 |
|
146 |
144 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
138 |
136 |
$4K |
| 87807 |
|
452 |
433 |
$4K |
| 83655 |
|
224 |
224 |
$3K |
| 80061 |
Lipid panel |
199 |
199 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
73 |
70 |
$672.42 |
| 99000 |
|
629 |
604 |
$525.00 |
| 99406 |
|
49 |
48 |
$438.69 |
| 85018 |
|
198 |
198 |
$341.83 |
| 99050 |
|
121 |
121 |
$215.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$193.13 |
| 92587 |
|
16 |
16 |
$180.32 |
| 81002 |
|
53 |
51 |
$112.67 |
| 94760 |
|
1,169 |
968 |
$10.50 |
| 98966 |
|
12 |
12 |
$8.94 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
43 |
40 |
$0.36 |
| S9451 |
Exercise classes, non-physician provider, per session |
5,418 |
5,406 |
$0.02 |
| S9452 |
Nutrition classes, non-physician provider, per session |
5,423 |
5,411 |
$0.02 |
| 2015F |
|
261 |
261 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
55 |
54 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |