| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18,767 |
16,340 |
$1.38M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,856 |
9,567 |
$774K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
37,183 |
16,279 |
$380K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,299 |
6,555 |
$199K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15,282 |
11,656 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,899 |
2,693 |
$112K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,262 |
1,229 |
$101K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,915 |
4,053 |
$95K |
| 99381 |
|
1,108 |
1,108 |
$91K |
| 90461 |
|
13,435 |
10,241 |
$60K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,053 |
2,904 |
$34K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,958 |
4,009 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,320 |
5,728 |
$8K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
364 |
354 |
$7K |
| 99443 |
|
166 |
159 |
$6K |
| 99441 |
|
883 |
852 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
55 |
$5K |
| 99442 |
|
464 |
442 |
$4K |
| 90474 |
|
1,273 |
1,230 |
$3K |
| 90670 |
|
9,126 |
8,700 |
$2K |
| 90473 |
|
568 |
567 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
29 |
29 |
$2K |
| 85018 |
|
176 |
167 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
118 |
102 |
$765.82 |
| T1015 |
Clinic visit/encounter, all-inclusive |
48 |
40 |
$751.53 |
| 0031A |
|
120 |
68 |
$699.81 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
12 |
12 |
$521.24 |
| 92015 |
Determination of refractive state |
27 |
27 |
$395.28 |
| 99407 |
|
16 |
14 |
$269.99 |
| 92083 |
|
36 |
28 |
$232.30 |
| 90688 |
|
1,656 |
1,622 |
$136.79 |
| 83655 |
|
369 |
331 |
$93.79 |
| 90633 |
|
3,088 |
2,945 |
$61.92 |
| 90656 |
|
347 |
345 |
$19.22 |
| 90677 |
|
2,244 |
2,225 |
$8.10 |
| 90697 |
|
1,479 |
1,452 |
$5.56 |
| 90686 |
|
4,089 |
3,964 |
$4.25 |
| 90710 |
|
246 |
233 |
$0.00 |
| 90648 |
|
4,965 |
4,753 |
$0.00 |
| 90707 |
|
1,146 |
1,087 |
$0.00 |
| 90681 |
|
5,473 |
5,317 |
$0.00 |
| 3078F |
|
1,424 |
1,319 |
$0.00 |
| 90700 |
|
886 |
854 |
$0.00 |
| 98966 |
|
13 |
13 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
15 |
15 |
$0.00 |
| 90723 |
|
5,176 |
4,975 |
$0.00 |
| 90647 |
|
1,272 |
1,231 |
$0.00 |
| 90698 |
|
1,495 |
1,455 |
$0.00 |
| 3074F |
|
1,441 |
1,334 |
$0.00 |
| 3048F |
|
92 |
87 |
$0.00 |
| 90716 |
|
1,020 |
964 |
$0.00 |
| 3044F |
|
223 |
212 |
$0.00 |
| 90696 |
|
72 |
71 |
$0.00 |
| 91303 |
|
120 |
68 |
$0.00 |
| 90680 |
|
86 |
85 |
$0.00 |