| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,252 |
14,527 |
$903K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,688 |
5,458 |
$456K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,295 |
4,887 |
$400K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,816 |
3,813 |
$346K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,066 |
8,040 |
$146K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,375 |
5,326 |
$125K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,159 |
1,158 |
$100K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
394 |
393 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
264 |
264 |
$26K |
| 90474 |
|
1,270 |
1,264 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,435 |
1,427 |
$12K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
127 |
117 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
3,442 |
3,269 |
$8K |
| 99460 |
|
87 |
87 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
85 |
85 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
130 |
122 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
52 |
52 |
$5K |
| 36416 |
|
1,791 |
1,573 |
$5K |
| 90473 |
|
242 |
242 |
$5K |
| 99381 |
|
48 |
48 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
61 |
60 |
$2K |
| 83655 |
|
178 |
178 |
$2K |
| 76801 |
|
26 |
26 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
101 |
89 |
$2K |
| 82247 |
|
309 |
222 |
$2K |
| 86756 |
|
109 |
109 |
$2K |
| 99307 |
|
120 |
111 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$946.85 |
| 0011A |
|
19 |
19 |
$720.00 |
| 90670 |
|
3,355 |
3,354 |
$542.00 |
| 90756 |
|
29 |
29 |
$497.04 |
| 0012A |
|
12 |
12 |
$440.00 |
| 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) |
27 |
27 |
$400.12 |
| 90686 |
|
2,386 |
2,380 |
$223.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
22 |
22 |
$149.60 |
| 54150 |
|
62 |
62 |
$133.93 |
| 90672 |
|
129 |
129 |
$97.81 |
| 90633 |
|
967 |
966 |
$33.91 |
| 90647 |
|
2,230 |
2,229 |
$16.83 |
| 90723 |
|
2,327 |
2,326 |
$16.53 |
| 90700 |
|
457 |
457 |
$3.14 |
| 90707 |
|
145 |
145 |
$1.27 |
| 90716 |
|
131 |
131 |
$1.15 |
| 90656 |
|
29 |
29 |
$0.05 |
| 90710 |
|
16 |
16 |
$0.01 |
| 90681 |
|
1,481 |
1,481 |
$0.00 |
| 90736 |
|
85 |
85 |
$0.00 |
| 90697 |
|
441 |
441 |
$0.00 |
| 90677 |
|
158 |
158 |
$0.00 |