| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,426 |
9,922 |
$844K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,373 |
3,296 |
$268K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,558 |
2,557 |
$234K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,651 |
7,497 |
$132K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,333 |
1,332 |
$120K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,792 |
2,680 |
$118K |
| 92587 |
|
2,512 |
2,510 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
587 |
556 |
$67K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
455 |
455 |
$44K |
| 90461 |
|
2,935 |
2,914 |
$38K |
| 99460 |
|
444 |
442 |
$35K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
373 |
369 |
$23K |
| 90677 |
|
192 |
192 |
$13K |
| 99173 |
|
2,968 |
2,966 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
174 |
171 |
$6K |
| 99050 |
|
926 |
892 |
$5K |
| 36406 |
|
287 |
281 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,270 |
1,251 |
$2K |
| 90671 |
|
135 |
135 |
$2K |
| 96160 |
|
781 |
748 |
$2K |
| 83655 |
|
155 |
155 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
97 |
95 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
216 |
216 |
$1K |
| 90670 |
|
1,589 |
1,587 |
$1K |
| 0002A |
|
31 |
31 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
133 |
132 |
$765.33 |
| 0001A |
|
20 |
19 |
$727.41 |
| 90686 |
|
1,787 |
1,783 |
$727.00 |
| 96127 |
|
154 |
154 |
$648.65 |
| 0003A |
|
17 |
17 |
$633.63 |
| 99072 |
|
1,868 |
1,614 |
$490.00 |
| 0071A |
|
13 |
13 |
$360.84 |
| 85018 |
|
132 |
132 |
$266.72 |
| 90698 |
|
663 |
661 |
$242.44 |
| 90716 |
|
156 |
156 |
$229.90 |
| 97802 |
|
47 |
47 |
$216.30 |
| 90680 |
|
1,274 |
1,272 |
$171.29 |
| 90633 |
|
754 |
754 |
$109.50 |
| 90656 |
|
250 |
250 |
$89.40 |
| 90649 |
|
52 |
52 |
$89.22 |
| 90723 |
|
607 |
606 |
$75.69 |
| S9451 |
Exercise classes, non-physician provider, per session |
42 |
42 |
$70.00 |
| 99000 |
|
3,391 |
3,202 |
$58.50 |
| 90674 |
|
27 |
27 |
$33.98 |
| 91307 |
|
15 |
13 |
$30.01 |
| 90647 |
|
612 |
612 |
$22.16 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,060 |
1,060 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| 36416 |
|
53 |
53 |
$0.00 |
| 3008F |
|
193 |
193 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 90707 |
|
143 |
143 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90685 |
|
153 |
153 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
30 |
30 |
$0.00 |
| 90648 |
|
29 |
29 |
$0.00 |
| 91300 |
|
25 |
18 |
$0.00 |