| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,904 |
14,011 |
$2.73M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,239 |
2,028 |
$420K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,981 |
2,790 |
$340K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,683 |
1,670 |
$314K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
512 |
510 |
$96K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
417 |
415 |
$79K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
373 |
357 |
$57K |
| 90837 |
Psychotherapy, 53 minutes with patient |
186 |
149 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,982 |
2,943 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
188 |
170 |
$6K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
26 |
24 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
859 |
854 |
$1K |
| 90651 |
|
41 |
40 |
$166.20 |
| 90686 |
|
458 |
455 |
$19.03 |
| 90633 |
|
42 |
42 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
269 |
268 |
$0.00 |
| 90648 |
|
251 |
245 |
$0.00 |
| 90670 |
|
194 |
193 |
$0.00 |
| 3078F |
|
38 |
36 |
$0.00 |
| 90681 |
|
65 |
64 |
$0.00 |
| 4274F |
|
14 |
13 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90723 |
|
497 |
492 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
56 |
55 |
$0.00 |
| 90677 |
|
135 |
130 |
$0.00 |
| 90698 |
|
56 |
56 |
$0.00 |
| 90680 |
|
82 |
81 |
$0.00 |
| 1036F |
|
34 |
33 |
$0.00 |
| 2010F |
|
70 |
67 |
$0.00 |
| 3074F |
|
45 |
43 |
$0.00 |
| 2001F |
|
67 |
64 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 2000F |
|
50 |
48 |
$0.00 |
| 90656 |
|
43 |
43 |
$0.00 |
| 90474 |
|
15 |
15 |
$0.00 |