| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,625 |
7,900 |
$488K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,457 |
6,339 |
$337K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,630 |
1,936 |
$131K |
| 99223 |
Prolong inpt eval add15 m |
2,220 |
1,948 |
$92K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,160 |
1,081 |
$74K |
| 99255 |
|
656 |
545 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
857 |
793 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
776 |
723 |
$49K |
| 99460 |
|
528 |
486 |
$41K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
755 |
707 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
602 |
569 |
$39K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
4,739 |
1,260 |
$38K |
| 99215 |
Prolong outpt/office vis |
781 |
594 |
$33K |
| 99233 |
Prolong inpt eval add15 m |
724 |
205 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,551 |
2,365 |
$24K |
| 99462 |
|
533 |
304 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,050 |
979 |
$13K |
| 90648 |
|
568 |
553 |
$11K |
| 90670 |
|
575 |
557 |
$11K |
| 90686 |
|
459 |
440 |
$9K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
181 |
136 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
415 |
362 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
774 |
732 |
$7K |
| 36416 |
|
2,902 |
2,657 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,512 |
1,420 |
$6K |
| 90723 |
|
264 |
259 |
$5K |
| 99173 |
|
960 |
882 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
621 |
571 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
66 |
65 |
$3K |
| 92551 |
|
376 |
350 |
$2K |
| D1206 |
Topical application of fluoride varnish |
84 |
82 |
$1K |
| 99254 |
|
18 |
14 |
$1K |
| 90707 |
|
80 |
69 |
$1K |
| 90716 |
|
80 |
69 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
233 |
205 |
$1K |
| 80305 |
|
569 |
543 |
$1K |
| 90734 |
|
55 |
53 |
$1K |
| 90633 |
|
41 |
41 |
$771.81 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$764.75 |
| 90651 |
|
51 |
39 |
$712.44 |
| 90685 |
|
31 |
30 |
$593.70 |
| 90681 |
|
24 |
24 |
$474.96 |
| 90620 |
|
25 |
24 |
$474.96 |
| 90682 |
|
15 |
13 |
$463.10 |
| 90656 |
|
23 |
23 |
$455.17 |
| 99222 |
Initial hospital care, per day, moderate complexity |
131 |
123 |
$286.02 |
| 90671 |
|
15 |
12 |
$237.48 |
| 83655 |
|
14 |
14 |
$210.00 |
| 81003 |
|
17 |
15 |
$45.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
136 |
118 |
$19.32 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
105 |
100 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
13 |
12 |
$0.00 |
| 84030 |
|
14 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
47 |
44 |
$0.00 |