| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,844 |
11,937 |
$964K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,629 |
7,847 |
$896K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,010 |
5,508 |
$611K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,933 |
4,832 |
$524K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,609 |
3,529 |
$380K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,035 |
1,009 |
$120K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,040 |
6,893 |
$74K |
| D0191 |
|
7,353 |
7,219 |
$73K |
| 90670 |
|
3,630 |
3,570 |
$69K |
| 90698 |
|
3,175 |
3,113 |
$61K |
| 99215 |
Prolong outpt/office vis |
411 |
375 |
$61K |
| 90686 |
|
2,877 |
2,858 |
$58K |
| 85018 |
|
2,165 |
2,121 |
$31K |
| 90680 |
|
1,589 |
1,558 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
862 |
851 |
$28K |
| 90832 |
Psychotherapy, 30 minutes with patient |
339 |
220 |
$26K |
| D1206 |
Topical application of fluoride varnish |
1,180 |
1,167 |
$22K |
| 83655 |
|
700 |
678 |
$22K |
| 90633 |
|
1,087 |
1,066 |
$21K |
| 90744 |
|
1,096 |
1,074 |
$20K |
| 90710 |
|
972 |
955 |
$19K |
| 90461 |
|
545 |
543 |
$16K |
| 99173 |
|
5,489 |
5,378 |
$15K |
| 20610 |
|
236 |
192 |
$9K |
| 90677 |
|
425 |
417 |
$9K |
| 90834 |
Psychotherapy, 45 minutes with patient |
84 |
64 |
$8K |
| 99188 |
|
521 |
515 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
95 |
83 |
$6K |
| 90685 |
|
362 |
353 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
313 |
302 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
31 |
31 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
192 |
188 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
88 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
464 |
289 |
$4K |
| 90651 |
|
166 |
164 |
$4K |
| 99383 |
|
26 |
26 |
$3K |
| 90697 |
|
153 |
153 |
$3K |
| 90656 |
|
128 |
128 |
$3K |
| 96160 |
|
896 |
876 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
238 |
204 |
$2K |
| 96127 |
|
373 |
369 |
$2K |
| 90734 |
|
98 |
97 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
98 |
92 |
$2K |
| 90696 |
|
79 |
77 |
$2K |
| 0072A |
|
39 |
39 |
$1K |
| 90688 |
|
69 |
69 |
$1K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
79 |
62 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
136 |
129 |
$1K |
| 90715 |
|
59 |
57 |
$1K |
| 0071A |
|
24 |
24 |
$922.80 |
| 90961 |
|
20 |
19 |
$720.46 |
| 99307 |
|
112 |
80 |
$534.42 |
| 90619 |
|
24 |
24 |
$483.16 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$266.79 |
| 81025 |
|
14 |
12 |
$163.50 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
43 |
24 |
$62.00 |
| 91307 |
|
132 |
131 |
$0.38 |
| 90700 |
|
15 |
15 |
$0.00 |