| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56,117 |
54,564 |
$2.36M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
47,353 |
47,251 |
$1.37M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,246 |
12,238 |
$826K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,700 |
8,695 |
$590K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,653 |
7,590 |
$484K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,610 |
6,407 |
$380K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,193 |
3,191 |
$242K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,285 |
3,281 |
$40K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,870 |
3,286 |
$40K |
| 90834 |
Psychotherapy, 45 minutes with patient |
585 |
514 |
$39K |
| 90837 |
Psychotherapy, 53 minutes with patient |
197 |
115 |
$20K |
| 96127 |
|
5,034 |
4,944 |
$19K |
| 90832 |
Psychotherapy, 30 minutes with patient |
308 |
273 |
$15K |
| 83655 |
|
1,242 |
1,240 |
$14K |
| 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) |
2,102 |
2,053 |
$11K |
| 90661 |
|
961 |
961 |
$9K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
644 |
639 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
253 |
252 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,385 |
1,371 |
$6K |
| 81002 |
|
4,464 |
4,423 |
$5K |
| 0072A |
|
126 |
126 |
$5K |
| 96160 |
|
3,525 |
3,482 |
$4K |
| 99173 |
|
7,114 |
7,109 |
$4K |
| 0071A |
|
109 |
109 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
33 |
33 |
$4K |
| 99381 |
|
40 |
40 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
150 |
102 |
$3K |
| 99442 |
|
93 |
92 |
$2K |
| 90686 |
|
11,076 |
11,054 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
164 |
163 |
$2K |
| 90461 |
|
2,361 |
2,359 |
$2K |
| 85018 |
|
1,432 |
1,431 |
$2K |
| 90674 |
|
2,557 |
2,556 |
$2K |
| 99188 |
|
80 |
80 |
$1K |
| 92551 |
|
182 |
182 |
$768.24 |
| 99051 |
|
156 |
155 |
$636.47 |
| 87430 |
|
97 |
96 |
$560.00 |
| 92552 |
|
55 |
55 |
$479.50 |
| 0001A |
|
12 |
12 |
$414.66 |
| 90480 |
|
12 |
12 |
$328.68 |
| 96161 |
|
263 |
251 |
$317.60 |
| 87081 |
|
67 |
67 |
$303.27 |
| 94760 |
|
1,370 |
1,321 |
$302.89 |
| 90619 |
|
184 |
184 |
$200.23 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$167.30 |
| 90656 |
|
363 |
363 |
$130.85 |
| 91321 |
|
12 |
12 |
$95.59 |
| 99441 |
|
12 |
12 |
$42.66 |
| 36415 |
Collection of venous blood by venipuncture |
248 |
246 |
$34.32 |
| 90744 |
|
197 |
196 |
$30.57 |
| 36416 |
|
2,128 |
2,127 |
$7.84 |
| 99080 |
|
22,393 |
22,179 |
$0.00 |
| 90710 |
|
671 |
671 |
$0.00 |
| 90681 |
|
654 |
654 |
$0.00 |
| 90670 |
|
2,625 |
2,615 |
$0.00 |
| 90633 |
|
1,082 |
1,082 |
$0.00 |
| 90715 |
|
38 |
38 |
$0.00 |
| 90648 |
|
810 |
808 |
$0.00 |
| 90671 |
|
802 |
802 |
$0.00 |
| 99499 |
|
319 |
317 |
$0.00 |
| 90707 |
|
117 |
117 |
$0.00 |
| 90672 |
|
16 |
16 |
$0.00 |
| 90734 |
|
65 |
65 |
$0.00 |
| 99000 |
|
3,590 |
3,519 |
$0.00 |
| 90651 |
|
279 |
279 |
$0.00 |
| 90680 |
|
923 |
920 |
$0.00 |
| 90698 |
|
1,223 |
1,217 |
$0.00 |
| 90677 |
|
802 |
802 |
$0.00 |
| 90723 |
|
811 |
809 |
$0.00 |
| 91307 |
|
170 |
169 |
$0.00 |
| 90697 |
|
737 |
736 |
$0.00 |
| 90716 |
|
128 |
128 |
$0.00 |
| 90688 |
|
13 |
13 |
$0.00 |
| 90696 |
|
140 |
140 |
$0.00 |