| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,371 |
9,398 |
$398K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,195 |
1,193 |
$143K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,860 |
1,851 |
$127K |
| 99215 |
Prolong outpt/office vis |
2,101 |
1,947 |
$96K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,123 |
1,091 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,829 |
1,764 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
516 |
497 |
$25K |
| 99460 |
|
803 |
792 |
$21K |
| 65205 |
|
97 |
97 |
$11K |
| 90480 |
|
130 |
130 |
$5K |
| 92552 |
|
4,030 |
4,008 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
509 |
506 |
$4K |
| 30901 |
|
305 |
305 |
$4K |
| 69210 |
|
236 |
236 |
$4K |
| 91320 |
|
119 |
119 |
$4K |
| 90686 |
|
3,398 |
3,381 |
$3K |
| 91319 |
|
81 |
81 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
228 |
191 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,214 |
1,197 |
$1K |
| 85018 |
|
5,168 |
5,100 |
$1K |
| 81000 |
|
4,263 |
4,207 |
$990.49 |
| 90651 |
|
1,044 |
1,044 |
$909.38 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,658 |
2,591 |
$615.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,174 |
6,960 |
$455.64 |
| 90670 |
|
402 |
389 |
$145.89 |
| 90656 |
|
287 |
283 |
$111.75 |
| 90734 |
|
75 |
74 |
$111.24 |
| 90677 |
|
12 |
12 |
$60.00 |
| 90648 |
|
225 |
213 |
$54.00 |
| 99173 |
|
4,030 |
4,008 |
$33.16 |
| 69209 |
|
280 |
280 |
$25.89 |
| 90713 |
|
55 |
55 |
$18.00 |
| 90680 |
|
58 |
52 |
$18.00 |
| 90700 |
|
175 |
171 |
$9.27 |
| 90633 |
|
184 |
184 |
$0.00 |
| 90685 |
|
224 |
196 |
$0.00 |
| 90707 |
|
61 |
59 |
$0.00 |
| 11420 |
|
18 |
18 |
$0.00 |
| 0004A |
|
13 |
13 |
$0.00 |
| 90716 |
|
241 |
238 |
$0.00 |
| 90620 |
|
96 |
96 |
$0.00 |
| 91305 |
|
13 |
13 |
$0.00 |
| 90619 |
|
35 |
35 |
$0.00 |
| 86580 |
|
31 |
31 |
$0.00 |