| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,715 |
19,349 |
$5.91M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,322 |
11,844 |
$3.85M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
11,836 |
6,712 |
$2.17M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,270 |
3,967 |
$1.24M |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,061 |
1,625 |
$474K |
| 99385 |
|
2,352 |
1,346 |
$426K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
669 |
393 |
$108K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
820 |
561 |
$66K |
| 99384 |
|
628 |
434 |
$48K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27,821 |
21,525 |
$46K |
| T2023 |
Targeted case management; per month |
781 |
664 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21,021 |
12,707 |
$23K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12,112 |
6,821 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
255 |
238 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
25 |
$6K |
| 90651 |
|
1,774 |
1,581 |
$5K |
| 11982 |
|
496 |
313 |
$2K |
| T1002 |
Rn services, up to 15 minutes |
444 |
393 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,956 |
1,135 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
263 |
173 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
263 |
173 |
$2K |
| 86592 |
|
903 |
814 |
$2K |
| 57454 |
|
239 |
195 |
$1K |
| 90716 |
|
181 |
179 |
$1K |
| H0031 |
Mental health assessment, by non-physician |
97 |
84 |
$927.99 |
| 90715 |
|
438 |
399 |
$828.24 |
| 99401 |
|
285 |
99 |
$823.81 |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
425 |
400 |
$722.69 |
| 90474 |
|
650 |
370 |
$595.00 |
| 97802 |
|
107 |
89 |
$571.14 |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
288 |
240 |
$545.40 |
| S9470 |
Nutritional counseling, dietitian visit |
65 |
53 |
$303.00 |
| 99406 |
|
788 |
719 |
$302.51 |
| 90707 |
|
107 |
107 |
$281.52 |
| 81025 |
|
235 |
233 |
$275.10 |
| T1017 |
Targeted case management, each 15 minutes |
1,169 |
866 |
$272.16 |
| T1001 |
Nursing assessment / evaluation |
50 |
41 |
$204.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
39 |
15 |
$187.66 |
| 36415 |
Collection of venous blood by venipuncture |
168 |
162 |
$58.35 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
86 |
74 |
$36.95 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
19 |
19 |
$31.58 |
| 82948 |
|
1,054 |
1,011 |
$27.24 |
| A4267 |
Contraceptive supply, condom, male, each |
977 |
922 |
$26.73 |
| 81002 |
|
87 |
86 |
$25.04 |
| 85018 |
|
65 |
64 |
$4.26 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
267 |
97 |
$0.00 |
| 90619 |
|
56 |
55 |
$0.00 |
| 90686 |
|
72 |
70 |
$0.00 |
| 86780 |
|
23 |
23 |
$0.00 |
| 90461 |
|
2,380 |
558 |
$0.00 |
| 87210 |
|
26 |
26 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
17 |
$0.00 |
| 86703 |
|
23 |
23 |
$0.00 |