| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,893 |
13,813 |
$583K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,646 |
3,598 |
$315K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,345 |
4,935 |
$289K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,245 |
3,182 |
$261K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,148 |
2,122 |
$202K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,531 |
6,606 |
$153K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,877 |
1,827 |
$146K |
| S8301 |
Infection control supplies, not otherwise specified |
16,650 |
13,835 |
$127K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,101 |
1,020 |
$82K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,656 |
1,608 |
$41K |
| 87634 |
|
712 |
684 |
$41K |
| 99429 |
|
1,012 |
999 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,479 |
2,368 |
$34K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,471 |
2,662 |
$28K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
367 |
362 |
$19K |
| 90461 |
|
2,235 |
1,906 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,072 |
537 |
$15K |
| 99215 |
Prolong outpt/office vis |
142 |
136 |
$12K |
| 99381 |
|
127 |
124 |
$10K |
| 0001A |
|
186 |
159 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
137 |
136 |
$5K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
242 |
224 |
$4K |
| 97169 |
|
140 |
139 |
$4K |
| 81002 |
|
865 |
807 |
$2K |
| 0071A |
|
68 |
61 |
$2K |
| 87807 |
|
179 |
168 |
$2K |
| 99000 |
|
159 |
154 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
74 |
62 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
54 |
54 |
$965.48 |
| 87428 |
|
13 |
13 |
$379.92 |
| 81003 |
|
48 |
47 |
$92.88 |
| 96160 |
|
12 |
12 |
$25.85 |
| 90688 |
|
1,932 |
1,928 |
$18.97 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$11.90 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
574 |
567 |
$10.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
391 |
384 |
$0.03 |
| 90670 |
|
1,321 |
1,292 |
$0.01 |
| 90696 |
|
329 |
325 |
$0.00 |
| 90619 |
|
139 |
138 |
$0.00 |
| 91307 |
|
68 |
61 |
$0.00 |
| 90716 |
|
1,046 |
1,025 |
$0.00 |
| 90680 |
|
1,101 |
1,080 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
100 |
96 |
$0.00 |
| 90723 |
|
242 |
238 |
$0.00 |
| 3008F |
|
2,994 |
2,520 |
$0.00 |
| 90677 |
|
461 |
438 |
$0.00 |
| 3061F |
|
42 |
35 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
397 |
392 |
$0.00 |
| 3074F |
|
1,148 |
1,104 |
$0.00 |
| 96127 |
|
121 |
116 |
$0.00 |
| 90697 |
|
209 |
208 |
$0.00 |
| 90651 |
|
130 |
130 |
$0.00 |
| 90698 |
|
122 |
117 |
$0.00 |
| 90656 |
|
236 |
236 |
$0.00 |
| 3079F |
|
32 |
29 |
$0.00 |
| 1125F |
|
92 |
72 |
$0.00 |
| 90633 |
|
1,039 |
1,013 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
634 |
608 |
$0.00 |
| 90648 |
|
884 |
861 |
$0.00 |
| 90715 |
|
307 |
306 |
$0.00 |
| 1159F |
|
3,603 |
2,987 |
$0.00 |
| 90700 |
|
248 |
248 |
$0.00 |
| 90707 |
|
1,044 |
1,020 |
$0.00 |
| 90734 |
|
573 |
565 |
$0.00 |
| 94664 |
|
371 |
365 |
$0.00 |
| 91300 |
|
191 |
159 |
$0.00 |
| 3078F |
|
1,092 |
1,052 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
58 |
58 |
$0.00 |