| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,743 |
6,146 |
$493K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,411 |
5,271 |
$410K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,695 |
7,103 |
$265K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25,207 |
9,276 |
$251K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,600 |
2,479 |
$204K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,454 |
2,361 |
$139K |
| 99460 |
|
1,712 |
1,651 |
$130K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,000 |
1,871 |
$96K |
| 99464 |
|
901 |
863 |
$75K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
699 |
656 |
$57K |
| 99222 |
Initial hospital care, per day, moderate complexity |
513 |
491 |
$51K |
| 90461 |
|
7,575 |
6,497 |
$34K |
| 99462 |
|
911 |
840 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,322 |
2,934 |
$33K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
503 |
402 |
$24K |
| 97803 |
|
4,848 |
4,632 |
$14K |
| S8301 |
Infection control supplies, not otherwise specified |
1,182 |
1,115 |
$14K |
| 99468 |
|
12 |
12 |
$10K |
| 0072A |
|
189 |
179 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
261 |
253 |
$6K |
| 0111A |
|
217 |
187 |
$6K |
| 0071A |
|
176 |
161 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
198 |
132 |
$3K |
| 0112A |
|
66 |
59 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
28 |
27 |
$2K |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
5,045 |
4,807 |
$2K |
| 0001A |
|
66 |
54 |
$2K |
| 84030 |
|
608 |
590 |
$2K |
| 97802 |
|
244 |
237 |
$2K |
| 87807 |
|
151 |
147 |
$2K |
| 0003A |
|
31 |
31 |
$1K |
| 86580 |
|
100 |
89 |
$645.97 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
50 |
44 |
$625.05 |
| 0002A |
|
15 |
13 |
$480.00 |
| 0073A |
|
12 |
12 |
$470.40 |
| 92551 |
|
425 |
386 |
$430.98 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,108 |
4,880 |
$385.00 |
| 90671 |
|
1,690 |
1,629 |
$216.22 |
| CP001 |
|
17 |
16 |
$166.60 |
| 85018 |
|
122 |
108 |
$0.14 |
| 90686 |
|
1,330 |
1,273 |
$0.03 |
| 90651 |
|
259 |
243 |
$0.01 |
| 83655 |
|
372 |
341 |
$0.01 |
| 90723 |
|
2,571 |
2,525 |
$0.00 |
| 90680 |
|
3,433 |
3,340 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
610 |
591 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
610 |
592 |
$0.00 |
| 90696 |
|
221 |
198 |
$0.00 |
| 90697 |
|
1,034 |
986 |
$0.00 |
| 91307 |
|
475 |
415 |
$0.00 |
| 90656 |
|
122 |
122 |
$0.00 |
| 90670 |
|
3,157 |
3,092 |
$0.00 |
| 99173 |
|
611 |
559 |
$0.00 |
| 90648 |
|
3,703 |
3,623 |
$0.00 |
| 91300 |
|
143 |
117 |
$0.00 |
| 90710 |
|
1,488 |
1,429 |
$0.00 |
| 90633 |
|
1,779 |
1,716 |
$0.00 |
| 91311 |
|
328 |
290 |
$0.00 |
| 90700 |
|
678 |
657 |
$0.00 |
| 99072 |
|
135 |
122 |
$0.00 |
| 90734 |
|
14 |
12 |
$0.00 |