| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,373 |
13,154 |
$909K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,012 |
6,407 |
$650K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,601 |
7,880 |
$332K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,234 |
2,182 |
$189K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,847 |
1,799 |
$156K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,786 |
6,520 |
$124K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
782 |
761 |
$72K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,272 |
2,170 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
841 |
824 |
$66K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,980 |
5,693 |
$49K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,420 |
2,364 |
$29K |
| 92551 |
|
2,879 |
2,795 |
$26K |
| 90461 |
|
1,196 |
1,171 |
$21K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,511 |
1,500 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,350 |
1,295 |
$18K |
| 90619 |
|
132 |
130 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
5,095 |
4,859 |
$15K |
| 92552 |
|
594 |
594 |
$15K |
| 96127 |
|
4,114 |
3,881 |
$15K |
| 90671 |
|
214 |
199 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
597 |
582 |
$8K |
| 99188 |
|
450 |
431 |
$7K |
| 96161 |
|
3,087 |
2,967 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
291 |
285 |
$6K |
| 97803 |
|
1,977 |
1,910 |
$5K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$4K |
| 3008F |
|
4,927 |
4,662 |
$4K |
| 90686 |
|
2,261 |
2,189 |
$3K |
| 83655 |
|
576 |
565 |
$3K |
| 99173 |
|
4,158 |
3,992 |
$3K |
| 95930 |
|
53 |
53 |
$3K |
| 90651 |
|
60 |
59 |
$3K |
| 92587 |
|
163 |
161 |
$3K |
| 90697 |
|
28 |
27 |
$3K |
| 99383 |
|
26 |
26 |
$2K |
| 81002 |
|
4,304 |
4,146 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
156 |
153 |
$2K |
| 90661 |
|
286 |
284 |
$2K |
| 96160 |
|
1,172 |
1,131 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
114 |
100 |
$2K |
| 0071A |
|
40 |
40 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
137 |
135 |
$2K |
| 90688 |
|
109 |
107 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
79 |
76 |
$1K |
| 0072A |
|
25 |
25 |
$1K |
| 90710 |
|
31 |
31 |
$990.18 |
| 36410 |
|
65 |
62 |
$903.16 |
| 99408 |
|
698 |
674 |
$807.80 |
| 85018 |
|
424 |
404 |
$698.65 |
| 90670 |
|
190 |
185 |
$679.29 |
| 90633 |
|
169 |
166 |
$658.14 |
| 90715 |
|
66 |
66 |
$572.82 |
| 97802 |
|
62 |
61 |
$503.97 |
| 90734 |
|
13 |
13 |
$404.31 |
| 87807 |
|
27 |
26 |
$220.84 |
| 90680 |
|
84 |
83 |
$185.63 |
| 90696 |
|
12 |
12 |
$124.42 |
| 90474 |
|
15 |
15 |
$121.00 |
| 90681 |
|
29 |
28 |
$117.93 |
| 94760 |
|
342 |
291 |
$91.09 |
| 81025 |
|
14 |
14 |
$84.39 |
| H0049 |
Alcohol and/or drug screening |
742 |
709 |
$48.50 |
| 94762 |
|
15 |
15 |
$41.91 |
| 87110 |
|
385 |
374 |
$17.00 |
| 91307 |
|
65 |
61 |
$16.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
15 |
14 |
$10.20 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
681 |
653 |
$7.25 |
| 87081 |
|
66 |
60 |
$2.82 |
| 4293F |
|
388 |
365 |
$1.00 |
| 2010F |
|
2,433 |
2,275 |
$0.00 |
| 1000F |
|
707 |
669 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
718 |
685 |
$0.00 |
| 1036F |
|
729 |
694 |
$0.00 |
| 2001F |
|
2,434 |
2,276 |
$0.00 |
| 36416 |
|
48 |
45 |
$0.00 |
| 90698 |
|
15 |
15 |
$0.00 |
| 92558 |
|
14 |
14 |
$0.00 |
| 3016F |
|
435 |
413 |
$0.00 |
| 3725F |
|
1,006 |
958 |
$0.00 |
| 1159F |
|
2,427 |
2,272 |
$0.00 |
| 1160F |
|
2,428 |
2,273 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
169 |
160 |
$0.00 |