| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,932 |
9,991 |
$686K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,699 |
5,394 |
$525K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,845 |
3,792 |
$305K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,898 |
3,853 |
$276K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,395 |
3,391 |
$268K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,952 |
1,950 |
$170K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,648 |
5,569 |
$108K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,633 |
9,492 |
$101K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,343 |
6,061 |
$65K |
| 87428 |
|
1,783 |
1,742 |
$64K |
| 99381 |
|
467 |
464 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
976 |
947 |
$37K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
992 |
959 |
$34K |
| 92551 |
|
5,178 |
5,169 |
$29K |
| 90474 |
|
2,361 |
2,336 |
$18K |
| G9002 |
Coordinated care fee, maintenance rate |
449 |
312 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
979 |
961 |
$13K |
| 83655 |
|
1,176 |
1,160 |
$12K |
| 96127 |
|
3,837 |
3,705 |
$11K |
| 99188 |
|
1,534 |
1,533 |
$11K |
| 99215 |
Prolong outpt/office vis |
66 |
63 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
446 |
429 |
$6K |
| 99177 |
|
3,885 |
3,879 |
$6K |
| 90480 |
|
135 |
135 |
$6K |
| 0071A |
|
126 |
125 |
$5K |
| 98966 |
|
646 |
546 |
$4K |
| 80061 |
Lipid panel |
406 |
406 |
$4K |
| 0072A |
|
90 |
90 |
$3K |
| 90671 |
|
736 |
736 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$3K |
| 90473 |
|
296 |
296 |
$3K |
| 85018 |
|
777 |
771 |
$1K |
| 88720 |
|
311 |
238 |
$1K |
| 87807 |
|
110 |
107 |
$1K |
| 0154A |
|
31 |
31 |
$1K |
| 0001A |
|
27 |
27 |
$1K |
| 0002A |
|
26 |
26 |
$984.10 |
| 0074A |
|
25 |
25 |
$940.13 |
| 36416 |
|
2,978 |
2,484 |
$918.00 |
| G9001 |
Coordinated care fee, initial rate |
12 |
12 |
$811.00 |
| 81003 |
|
440 |
422 |
$786.30 |
| 99051 |
|
2,861 |
2,776 |
$638.82 |
| 0124A |
|
12 |
12 |
$419.59 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
35 |
26 |
$367.50 |
| 92567 |
|
45 |
43 |
$357.28 |
| 90651 |
|
646 |
643 |
$304.00 |
| 96380 |
|
14 |
14 |
$287.92 |
| 94664 |
|
25 |
25 |
$260.64 |
| 99000 |
|
457 |
443 |
$186.92 |
| 96160 |
|
1,837 |
1,834 |
$90.66 |
| 96161 |
|
1,058 |
1,040 |
$77.97 |
| 90656 |
|
229 |
229 |
$67.05 |
| 90686 |
|
3,840 |
3,779 |
$19.18 |
| 3049F |
|
100 |
100 |
$0.13 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,399 |
4,321 |
$0.00 |
| 91307 |
|
325 |
315 |
$0.00 |
| 94760 |
|
4,191 |
3,831 |
$0.00 |
| 90723 |
|
2,507 |
2,478 |
$0.00 |
| 90647 |
|
2,425 |
2,410 |
$0.00 |
| 90680 |
|
2,342 |
2,315 |
$0.00 |
| 90696 |
|
202 |
201 |
$0.00 |
| 90716 |
|
350 |
350 |
$0.00 |
| 90620 |
|
136 |
136 |
$0.00 |
| 91315 |
|
31 |
31 |
$0.00 |
| 91305 |
|
58 |
58 |
$0.00 |
| 90660 |
|
34 |
34 |
$0.00 |
| 90710 |
|
261 |
259 |
$0.00 |
| 90633 |
|
1,547 |
1,514 |
$0.00 |
| 97803 |
|
9,230 |
6,934 |
$0.00 |
| 91300 |
|
105 |
99 |
$0.00 |
| 90734 |
|
451 |
446 |
$0.00 |
| 90685 |
|
71 |
69 |
$0.00 |
| 90670 |
|
2,451 |
2,416 |
$0.00 |
| 90672 |
|
365 |
365 |
$0.00 |
| 90707 |
|
358 |
357 |
$0.00 |
| 91321 |
|
65 |
65 |
$0.00 |
| 91308 |
|
76 |
76 |
$0.00 |
| 90715 |
|
78 |
77 |
$0.00 |
| 90700 |
|
183 |
183 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |