| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,699 |
15,561 |
$2.28M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,211 |
10,739 |
$1.34M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,162 |
4,878 |
$727K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,855 |
4,638 |
$697K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,077 |
1,945 |
$278K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,816 |
1,652 |
$253K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
943 |
877 |
$115K |
| 96161 |
|
2,308 |
2,114 |
$56K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
278 |
245 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
337 |
276 |
$24K |
| 96127 |
|
1,153 |
1,074 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,245 |
1,170 |
$19K |
| 99381 |
|
114 |
108 |
$16K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
317 |
304 |
$9K |
| 99051 |
|
811 |
742 |
$9K |
| 90686 |
|
2,297 |
2,168 |
$8K |
| 92587 |
|
2,094 |
1,879 |
$4K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
287 |
264 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,739 |
11,326 |
$3K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
312 |
289 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,474 |
1,359 |
$2K |
| 99173 |
|
1,732 |
1,569 |
$2K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
326 |
291 |
$2K |
| 90670 |
|
3,683 |
3,577 |
$501.19 |
| 90723 |
|
2,888 |
2,813 |
$493.61 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
106 |
96 |
$364.46 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$348.22 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
221 |
170 |
$346.62 |
| 1159F |
|
5,598 |
4,957 |
$307.42 |
| 90633 |
|
1,561 |
1,483 |
$230.16 |
| 90677 |
|
98 |
95 |
$182.53 |
| 90681 |
|
1,025 |
984 |
$164.39 |
| 90716 |
|
307 |
294 |
$115.16 |
| 90707 |
|
323 |
310 |
$67.03 |
| 85018 |
|
149 |
148 |
$46.06 |
| 90700 |
|
117 |
102 |
$30.44 |
| 92551 |
|
29 |
22 |
$29.40 |
| 90647 |
|
2,289 |
2,201 |
$25.25 |
| 3044F |
|
70 |
58 |
$0.00 |
| 3008F |
|
793 |
707 |
$0.00 |
| 3079F |
|
240 |
209 |
$0.00 |
| 90651 |
|
204 |
185 |
$0.00 |
| 90656 |
|
157 |
150 |
$0.00 |
| 3075F |
|
88 |
80 |
$0.00 |
| 3074F |
|
403 |
362 |
$0.00 |
| 90696 |
|
39 |
37 |
$0.00 |
| 90619 |
|
13 |
12 |
$0.00 |
| 3078F |
|
282 |
259 |
$0.00 |
| 90734 |
|
126 |
118 |
$0.00 |
| 1160F |
|
4,502 |
4,003 |
$0.00 |
| 90461 |
|
783 |
700 |
$0.00 |
| 96160 |
|
671 |
629 |
$0.00 |
| 90715 |
|
98 |
89 |
$0.00 |
| 90710 |
|
26 |
26 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
21 |
21 |
$0.00 |
| 85014 |
|
13 |
12 |
$0.00 |