| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,854 |
13,897 |
$1.15M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,796 |
3,713 |
$354K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,950 |
3,794 |
$337K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,525 |
1,495 |
$143K |
| 90686 |
|
2,743 |
2,653 |
$39K |
| 90670 |
|
2,537 |
2,465 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
314 |
309 |
$32K |
| 90648 |
|
2,005 |
1,952 |
$27K |
| 99383 |
|
204 |
201 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
590 |
570 |
$21K |
| 90680 |
|
1,444 |
1,405 |
$20K |
| 90633 |
|
1,360 |
1,328 |
$18K |
| 90723 |
|
1,200 |
1,164 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
138 |
127 |
$15K |
| 99177 |
|
4,335 |
4,237 |
$13K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
153 |
82 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,415 |
1,330 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
666 |
630 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
790 |
753 |
$9K |
| 90710 |
|
554 |
545 |
$8K |
| 90744 |
|
564 |
557 |
$8K |
| 90698 |
|
543 |
533 |
$8K |
| 99382 |
|
68 |
67 |
$7K |
| 99381 |
|
68 |
68 |
$6K |
| 90677 |
|
398 |
392 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
60 |
60 |
$5K |
| 0071A |
|
150 |
128 |
$5K |
| 0072A |
|
121 |
112 |
$5K |
| 83655 |
|
374 |
367 |
$4K |
| 90674 |
|
215 |
211 |
$4K |
| 90700 |
|
312 |
309 |
$4K |
| 90716 |
|
270 |
266 |
$4K |
| 90651 |
|
263 |
260 |
$3K |
| 85018 |
|
1,520 |
1,500 |
$3K |
| 90696 |
|
189 |
187 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,143 |
1,121 |
$3K |
| 99384 |
|
27 |
27 |
$3K |
| 90707 |
|
204 |
200 |
$3K |
| 90681 |
|
206 |
203 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
187 |
92 |
$2K |
| 90715 |
|
135 |
134 |
$2K |
| 96160 |
|
443 |
432 |
$1K |
| 0001A |
|
32 |
28 |
$1K |
| 90656 |
|
226 |
225 |
$1K |
| 90685 |
|
83 |
82 |
$1K |
| 0002A |
|
26 |
26 |
$1K |
| 99460 |
|
12 |
12 |
$981.72 |
| 36416 |
|
269 |
265 |
$969.28 |
| 90734 |
|
69 |
69 |
$901.42 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
189 |
188 |
$743.74 |
| 90687 |
|
83 |
82 |
$667.40 |
| 96127 |
|
133 |
130 |
$544.61 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$538.80 |
| 0051A |
|
17 |
14 |
$520.00 |
| 90620 |
|
22 |
22 |
$433.18 |
| 90657 |
|
55 |
55 |
$311.48 |
| 90697 |
|
17 |
15 |
$211.51 |
| 90713 |
|
20 |
20 |
$195.89 |
| 90658 |
|
32 |
32 |
$179.51 |
| 99173 |
|
56 |
56 |
$94.52 |
| 0011A |
|
23 |
22 |
$40.18 |
| 92558 |
|
13 |
13 |
$35.58 |
| 81003 |
|
13 |
13 |
$23.54 |
| 99000 |
|
264 |
243 |
$0.00 |
| 91307 |
|
450 |
391 |
$0.00 |
| 91305 |
|
18 |
14 |
$0.00 |
| 91300 |
|
31 |
30 |
$0.00 |
| 91311 |
|
31 |
30 |
$0.00 |