| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,512 |
6,757 |
$640K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,797 |
3,114 |
$210K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
969 |
900 |
$100K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,289 |
1,664 |
$82K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,399 |
2,049 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
504 |
423 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
419 |
367 |
$39K |
| 97803 |
|
1,201 |
965 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
74 |
72 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
404 |
239 |
$8K |
| 90461 |
|
646 |
517 |
$8K |
| 97802 |
|
1,266 |
943 |
$6K |
| 92558 |
|
858 |
758 |
$5K |
| H0049 |
Alcohol and/or drug screening |
255 |
236 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
112 |
101 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
350 |
343 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
15 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
59 |
56 |
$658.85 |
| 83655 |
|
64 |
61 |
$461.64 |
| 90677 |
|
142 |
138 |
$395.15 |
| 90686 |
|
374 |
316 |
$325.93 |
| 96160 |
|
638 |
420 |
$278.17 |
| 99173 |
|
1,367 |
1,070 |
$273.56 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
14 |
$134.15 |
| 85018 |
|
61 |
59 |
$77.16 |
| 90633 |
|
24 |
24 |
$61.92 |
| 99401 |
|
269 |
223 |
$41.41 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
231 |
188 |
$29.02 |
| 96127 |
|
286 |
245 |
$18.76 |
| 96161 |
|
44 |
25 |
$7.71 |
| 90656 |
|
30 |
30 |
$0.03 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
147 |
102 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
662 |
504 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
389 |
274 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,510 |
1,052 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,208 |
859 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
224 |
174 |
$0.00 |
| 1111F |
|
336 |
278 |
$0.00 |
| 36416 |
|
32 |
27 |
$0.00 |
| 90620 |
|
25 |
15 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 99177 |
|
262 |
128 |
$0.00 |
| 90648 |
|
212 |
195 |
$0.00 |
| 90670 |
|
166 |
125 |
$0.00 |
| 90700 |
|
44 |
44 |
$0.00 |