| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,120 |
22,188 |
$1.89M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,384 |
8,191 |
$689K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,491 |
1,351 |
$132K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,094 |
999 |
$104K |
| 86328 |
|
3,130 |
2,658 |
$100K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,101 |
1,017 |
$77K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
769 |
728 |
$46K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
369 |
338 |
$36K |
| 99385 |
|
317 |
280 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
742 |
636 |
$28K |
| 99215 |
Prolong outpt/office vis |
239 |
214 |
$23K |
| 80305 |
|
1,765 |
1,180 |
$18K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
556 |
332 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
117 |
109 |
$11K |
| 90686 |
|
676 |
607 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
623 |
537 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
82 |
78 |
$7K |
| 99386 |
|
35 |
26 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
462 |
402 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
25 |
$3K |
| G2086 |
Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination, individual therapy and group therapy and counseling; at least 70 minutes in the first calendar month |
16 |
16 |
$2K |
| 99401 |
|
409 |
317 |
$2K |
| 99384 |
|
14 |
14 |
$2K |
| 0001A |
|
29 |
29 |
$1K |
| 90756 |
|
49 |
47 |
$806.24 |
| 0002A |
|
18 |
18 |
$720.00 |
| 0011A |
|
18 |
18 |
$640.00 |
| 99306 |
Prolong nursin fac eval 15m |
17 |
16 |
$502.21 |
| 90716 |
|
15 |
14 |
$367.17 |
| 87400 |
|
38 |
20 |
$302.03 |
| 99173 |
|
190 |
179 |
$288.59 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
32 |
25 |
$282.75 |
| 90707 |
|
13 |
12 |
$264.84 |
| 87276 |
|
147 |
137 |
$248.99 |
| 87275 |
|
166 |
148 |
$211.52 |
| 90688 |
|
13 |
13 |
$180.00 |
| 99000 |
|
922 |
757 |
$160.57 |
| 96127 |
|
33 |
31 |
$150.78 |
| 0012A |
|
12 |
12 |
$140.81 |
| 69210 |
|
15 |
14 |
$96.44 |
| 99072 |
|
1,325 |
1,025 |
$36.15 |
| 81025 |
|
13 |
12 |
$35.50 |
| 81003 |
|
42 |
36 |
$35.19 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$11.96 |
| 81002 |
|
14 |
14 |
$8.76 |
| 91301 |
|
46 |
46 |
$0.01 |
| 3078F |
|
618 |
585 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
737 |
661 |
$0.00 |
| 90461 |
|
159 |
140 |
$0.00 |
| 91300 |
|
58 |
53 |
$0.00 |
| 3074F |
|
735 |
691 |
$0.00 |
| 3079F |
|
132 |
125 |
$0.00 |