| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,524 |
27,982 |
$2.11M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,134 |
4,832 |
$530K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,464 |
3,454 |
$355K |
| 90461 |
|
5,825 |
5,801 |
$297K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,319 |
3,163 |
$293K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,409 |
8,316 |
$250K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,176 |
1,175 |
$119K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,899 |
1,821 |
$76K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,213 |
3,170 |
$50K |
| S9999 |
Sales tax |
5,404 |
4,365 |
$31K |
| 99460 |
|
309 |
308 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
242 |
242 |
$24K |
| 99215 |
Prolong outpt/office vis |
185 |
176 |
$21K |
| 99442 |
|
150 |
146 |
$15K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
228 |
228 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
107 |
107 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
460 |
318 |
$9K |
| 99173 |
|
1,164 |
1,161 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,635 |
1,605 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
66 |
66 |
$5K |
| 99462 |
|
77 |
51 |
$3K |
| 90685 |
|
86 |
86 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
164 |
160 |
$2K |
| 90671 |
|
260 |
260 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
22 |
22 |
$841.78 |
| 81002 |
|
234 |
226 |
$742.58 |
| 99421 |
|
14 |
14 |
$557.42 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
225 |
222 |
$518.16 |
| 69210 |
|
12 |
12 |
$510.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
23 |
$484.92 |
| 90681 |
|
182 |
182 |
$122.85 |
| 99000 |
|
38 |
38 |
$76.93 |
| 90648 |
|
1,206 |
1,201 |
$42.68 |
| 90700 |
|
198 |
198 |
$41.70 |
| 90670 |
|
2,650 |
2,640 |
$4.12 |
| 90686 |
|
933 |
930 |
$2.23 |
| 90723 |
|
904 |
899 |
$1.13 |
| 90633 |
|
1,099 |
1,095 |
$1.09 |
| 90698 |
|
290 |
290 |
$0.37 |
| 90707 |
|
139 |
136 |
$0.14 |
| 90696 |
|
96 |
95 |
$0.08 |
| 90710 |
|
101 |
101 |
$0.07 |
| 90734 |
|
128 |
128 |
$0.00 |
| 90715 |
|
84 |
84 |
$0.00 |
| 90756 |
|
90 |
90 |
$0.00 |
| 3078F |
|
218 |
218 |
$0.00 |
| 99401 |
|
12 |
12 |
$0.00 |
| 3008F |
|
1,694 |
1,657 |
$0.00 |
| 90674 |
|
65 |
62 |
$0.00 |
| 3074F |
|
218 |
218 |
$0.00 |
| 90697 |
|
342 |
342 |
$0.00 |
| 90651 |
|
183 |
182 |
$0.00 |
| 90677 |
|
438 |
436 |
$0.00 |
| 90680 |
|
120 |
119 |
$0.00 |
| 36416 |
|
15 |
13 |
$0.00 |
| 90716 |
|
166 |
164 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
29 |
28 |
$0.00 |
| 90656 |
|
48 |
44 |
$0.00 |