| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52,762 |
48,645 |
$5.25M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,879 |
33,045 |
$2.57M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18,004 |
17,819 |
$1.81M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16,251 |
16,090 |
$1.63M |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
48,479 |
28,530 |
$1.34M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,816 |
8,713 |
$879K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33,789 |
33,199 |
$695K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,120 |
4,065 |
$415K |
| 90473 |
|
10,299 |
10,208 |
$213K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,555 |
9,178 |
$150K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,107 |
2,079 |
$146K |
| 90686 |
|
14,004 |
13,807 |
$90K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
609 |
591 |
$69K |
| 99222 |
Initial hospital care, per day, moderate complexity |
495 |
482 |
$65K |
| 99460 |
|
608 |
601 |
$49K |
| 99215 |
Prolong outpt/office vis |
204 |
184 |
$28K |
| 99383 |
|
165 |
157 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
474 |
456 |
$25K |
| 99235 |
|
121 |
119 |
$20K |
| 88720 |
|
3,387 |
2,121 |
$17K |
| 90656 |
|
962 |
949 |
$14K |
| 90834 |
Psychotherapy, 45 minutes with patient |
131 |
89 |
$13K |
| 90672 |
|
926 |
919 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
639 |
612 |
$10K |
| 99188 |
|
420 |
418 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
47 |
47 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
118 |
89 |
$7K |
| 0072A |
|
153 |
146 |
$6K |
| 99080 |
|
1,102 |
1,097 |
$5K |
| 0071A |
|
132 |
127 |
$5K |
| 99384 |
|
17 |
16 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
84 |
58 |
$3K |
| 90670 |
|
10,608 |
10,496 |
$3K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
199 |
193 |
$2K |
| 54150 |
|
26 |
26 |
$2K |
| 99382 |
|
14 |
13 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 98967 |
|
72 |
70 |
$1K |
| 90620 |
|
175 |
175 |
$1K |
| 99463 |
|
12 |
12 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
15 |
12 |
$1K |
| 96127 |
|
261 |
254 |
$1K |
| 90649 |
|
1,748 |
1,731 |
$1K |
| 81003 |
|
438 |
428 |
$950.23 |
| 94060 |
|
13 |
13 |
$663.13 |
| 98968 |
|
14 |
13 |
$418.56 |
| 90716 |
|
465 |
462 |
$409.60 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
234 |
227 |
$382.92 |
| 90680 |
|
8,543 |
8,472 |
$249.11 |
| 90660 |
|
13 |
13 |
$202.09 |
| 90707 |
|
573 |
565 |
$190.13 |
| 81025 |
|
19 |
18 |
$156.83 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$120.56 |
| 90723 |
|
9,717 |
9,626 |
$105.23 |
| 90647 |
|
9,408 |
9,317 |
$96.50 |
| 90715 |
|
504 |
500 |
$69.59 |
| 90700 |
|
3,179 |
3,152 |
$55.14 |
| 90633 |
|
4,996 |
4,937 |
$14.67 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$11.35 |
| 90710 |
|
1,132 |
1,122 |
$3.87 |
| 90734 |
|
374 |
371 |
$2.41 |
| 90685 |
|
365 |
364 |
$2.33 |
| 90696 |
|
85 |
80 |
$0.47 |
| 90681 |
|
12 |
12 |
$0.09 |
| 99072 |
|
13 |
13 |
$0.00 |