| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,241 |
14,509 |
$1.14M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,748 |
2,693 |
$291K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,914 |
1,914 |
$194K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,285 |
1,173 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,131 |
1,128 |
$113K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
995 |
994 |
$96K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,777 |
2,757 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
346 |
346 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
94 |
94 |
$16K |
| 99051 |
|
1,539 |
1,523 |
$13K |
| 90461 |
|
733 |
724 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
188 |
175 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,167 |
1,150 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
509 |
505 |
$6K |
| 69210 |
|
115 |
114 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
52 |
52 |
$5K |
| 99442 |
|
92 |
85 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
39 |
39 |
$4K |
| 99188 |
|
267 |
267 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
52 |
52 |
$3K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 90686 |
|
892 |
890 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
49 |
49 |
$1K |
| 99441 |
|
39 |
39 |
$1K |
| 92551 |
|
112 |
112 |
$749.19 |
| 93000 |
|
51 |
51 |
$697.77 |
| 96127 |
|
152 |
139 |
$625.81 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
26 |
$407.16 |
| 90658 |
|
145 |
144 |
$197.30 |
| 99406 |
|
16 |
16 |
$194.66 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
27 |
25 |
$168.80 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
12 |
12 |
$65.94 |
| 99173 |
|
29 |
29 |
$4.44 |
| 90648 |
|
292 |
292 |
$0.00 |
| 90734 |
|
72 |
71 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
289 |
286 |
$0.00 |
| 90670 |
|
216 |
216 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90715 |
|
34 |
33 |
$0.00 |
| 90723 |
|
77 |
77 |
$0.00 |
| 90657 |
|
16 |
15 |
$0.00 |
| 90677 |
|
64 |
64 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |