| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,615 |
6,709 |
$425K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,428 |
1,360 |
$124K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,371 |
1,356 |
$99K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,151 |
1,149 |
$93K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,715 |
2,541 |
$81K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
833 |
833 |
$69K |
| 87428 |
|
1,259 |
1,220 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
543 |
540 |
$50K |
| 90837 |
Psychotherapy, 53 minutes with patient |
397 |
274 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,409 |
1,364 |
$16K |
| 99381 |
|
164 |
164 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
668 |
639 |
$8K |
| 96127 |
|
1,073 |
972 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
320 |
317 |
$4K |
| 83655 |
|
398 |
397 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
120 |
114 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
458 |
454 |
$3K |
| 99177 |
|
890 |
889 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
77 |
77 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
17 |
13 |
$925.18 |
| 96380 |
|
43 |
42 |
$900.37 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
19 |
$779.82 |
| 99000 |
|
139 |
124 |
$594.86 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
105 |
99 |
$574.72 |
| 96161 |
|
344 |
336 |
$572.67 |
| 90651 |
|
125 |
124 |
$494.95 |
| 81002 |
|
181 |
168 |
$471.12 |
| 90480 |
|
14 |
14 |
$405.88 |
| 0154A |
|
12 |
12 |
$359.82 |
| 99051 |
|
245 |
235 |
$356.90 |
| 90677 |
|
560 |
560 |
$339.06 |
| 90619 |
|
139 |
139 |
$166.23 |
| 90656 |
|
272 |
272 |
$155.58 |
| 90621 |
|
49 |
49 |
$140.86 |
| 98966 |
|
25 |
25 |
$114.36 |
| 90686 |
|
566 |
563 |
$109.17 |
| 81003 |
|
59 |
54 |
$102.52 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$88.70 |
| G9002 |
Coordinated care fee, maintenance rate |
87 |
67 |
$0.55 |
| 3074F |
|
779 |
763 |
$0.30 |
| 3078F |
|
750 |
737 |
$0.29 |
| G9920 |
Screening performed and negative |
775 |
774 |
$0.13 |
| 90697 |
|
610 |
608 |
$0.00 |
| 36416 |
|
128 |
127 |
$0.00 |
| 90680 |
|
584 |
584 |
$0.00 |
| 90698 |
|
73 |
73 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
13 |
12 |
$0.00 |
| 90381 |
|
44 |
44 |
$0.00 |
| 91318 |
|
13 |
13 |
$0.00 |
| 90696 |
|
42 |
42 |
$0.00 |
| 90716 |
|
45 |
45 |
$0.00 |
| 90670 |
|
253 |
253 |
$0.00 |
| 90633 |
|
365 |
365 |
$0.00 |
| 99173 |
|
30 |
30 |
$0.00 |
| 90710 |
|
42 |
42 |
$0.00 |
| 90461 |
|
437 |
437 |
$0.00 |
| 90380 |
|
15 |
14 |
$0.00 |
| 90715 |
|
37 |
37 |
$0.00 |
| 99072 |
|
123 |
109 |
$0.00 |
| 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) |
112 |
110 |
$0.00 |
| 90707 |
|
58 |
58 |
$0.00 |