| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,666 |
26,823 |
$1.01M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,787 |
4,712 |
$342K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,365 |
5,180 |
$325K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,367 |
4,308 |
$314K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,255 |
6,089 |
$304K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,602 |
3,537 |
$253K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,166 |
3,117 |
$222K |
| 99188 |
|
13,794 |
13,392 |
$209K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,164 |
9,905 |
$196K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,648 |
1,040 |
$122K |
| 92555 |
|
8,219 |
8,011 |
$86K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,934 |
1,456 |
$81K |
| 87428 |
|
1,210 |
1,181 |
$60K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,550 |
1,493 |
$49K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,296 |
6,059 |
$44K |
| 99173 |
|
8,452 |
8,240 |
$38K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,039 |
766 |
$20K |
| D1206 |
Topical application of fluoride varnish |
523 |
510 |
$10K |
| 99381 |
|
79 |
79 |
$8K |
| 96127 |
|
1,590 |
1,428 |
$7K |
| 87634 |
|
144 |
123 |
$6K |
| 87807 |
|
406 |
397 |
$5K |
| 96160 |
|
155 |
155 |
$3K |
| 99460 |
|
38 |
38 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
97 |
95 |
$2K |
| 96161 |
|
93 |
93 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
41 |
38 |
$2K |
| 99383 |
|
24 |
24 |
$2K |
| 99051 |
|
289 |
283 |
$2K |
| 90674 |
|
306 |
303 |
$1K |
| 99382 |
|
12 |
12 |
$840.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$182.40 |
| 90744 |
|
1,204 |
1,187 |
$71.85 |
| 90716 |
|
1,165 |
1,138 |
$60.78 |
| 90677 |
|
128 |
128 |
$37.00 |
| 90686 |
|
1,697 |
1,666 |
$35.79 |
| 90656 |
|
135 |
134 |
$24.91 |
| 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) |
717 |
688 |
$5.90 |
| 90698 |
|
2,658 |
2,598 |
$0.06 |
| 90680 |
|
1,367 |
1,354 |
$0.04 |
| 90651 |
|
1,126 |
1,102 |
$0.00 |
| 99000 |
|
208 |
205 |
$0.00 |
| 90619 |
|
313 |
306 |
$0.00 |
| 90620 |
|
193 |
183 |
$0.00 |
| 90647 |
|
144 |
144 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
204 |
201 |
$0.00 |
| 90713 |
|
449 |
442 |
$0.00 |
| 90461 |
|
721 |
685 |
$0.00 |
| 90707 |
|
1,153 |
1,127 |
$0.00 |
| 90715 |
|
159 |
155 |
$0.00 |
| 90670 |
|
2,689 |
2,631 |
$0.00 |
| 90700 |
|
784 |
772 |
$0.00 |
| 90685 |
|
466 |
457 |
$0.00 |
| 90633 |
|
1,264 |
1,231 |
$0.00 |
| 90671 |
|
138 |
132 |
$0.00 |
| 90734 |
|
470 |
452 |
$0.00 |
| 90648 |
|
26 |
26 |
$0.00 |
| 99072 |
|
30 |
30 |
$0.00 |