| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67,570 |
58,916 |
$4.55M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,473 |
13,410 |
$1.39M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,719 |
8,543 |
$767K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,034 |
7,924 |
$728K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,182 |
6,966 |
$598K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,742 |
5,568 |
$549K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
22,428 |
21,396 |
$432K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,156 |
1,153 |
$327K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,752 |
8,367 |
$287K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15,162 |
14,943 |
$168K |
| 92558 |
|
16,495 |
15,749 |
$131K |
| 90461 |
|
7,928 |
7,779 |
$115K |
| 90651 |
|
1,675 |
1,589 |
$93K |
| 92587 |
|
6,424 |
6,326 |
$86K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
886 |
832 |
$85K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,662 |
5,314 |
$85K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,836 |
2,768 |
$55K |
| 99188 |
|
2,782 |
2,715 |
$45K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,682 |
2,562 |
$37K |
| 90710 |
|
1,043 |
1,024 |
$33K |
| 90686 |
|
6,052 |
5,925 |
$31K |
| 99460 |
|
386 |
365 |
$27K |
| 90670 |
|
2,037 |
2,017 |
$27K |
| 99381 |
|
296 |
282 |
$25K |
| 97802 |
|
21,525 |
20,564 |
$25K |
| 90621 |
|
465 |
440 |
$24K |
| 90619 |
|
896 |
828 |
$22K |
| 90734 |
|
493 |
486 |
$21K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
351 |
341 |
$21K |
| 86580 |
|
2,359 |
2,213 |
$16K |
| 99173 |
|
15,198 |
14,740 |
$13K |
| 90671 |
|
1,209 |
1,111 |
$12K |
| 90633 |
|
2,000 |
1,964 |
$9K |
| 99383 |
|
73 |
73 |
$8K |
| 90715 |
|
644 |
621 |
$7K |
| 90698 |
|
1,259 |
1,244 |
$6K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
409 |
409 |
$6K |
| 90680 |
|
1,833 |
1,789 |
$6K |
| 90696 |
|
591 |
577 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
348 |
326 |
$5K |
| 90697 |
|
985 |
915 |
$4K |
| 0071A |
|
100 |
100 |
$4K |
| 90744 |
|
1,062 |
1,049 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
24 |
$3K |
| 90677 |
|
247 |
222 |
$3K |
| 90474 |
|
320 |
304 |
$3K |
| 0072A |
|
70 |
70 |
$3K |
| 90700 |
|
674 |
667 |
$3K |
| 90716 |
|
168 |
161 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
25 |
$2K |
| 90688 |
|
274 |
261 |
$2K |
| 99462 |
|
48 |
30 |
$1K |
| 69210 |
|
40 |
39 |
$1K |
| 90648 |
|
596 |
588 |
$1K |
| 0051A |
|
35 |
34 |
$1K |
| 90656 |
|
310 |
285 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
17 |
17 |
$883.84 |
| 96160 |
|
933 |
903 |
$883.51 |
| 90707 |
|
117 |
112 |
$815.31 |
| 96127 |
|
245 |
214 |
$757.59 |
| 90685 |
|
78 |
78 |
$701.87 |
| 0052A |
|
12 |
12 |
$465.00 |
| 90658 |
|
24 |
24 |
$324.11 |
| 90660 |
|
13 |
12 |
$103.80 |
| A7015 |
Aerosol mask, used with dme nebulizer |
116 |
104 |
$103.00 |
| 90713 |
|
16 |
12 |
$61.00 |
| 99000 |
|
434 |
423 |
$40.31 |
| 91307 |
|
220 |
205 |
$33.00 |
| 91305 |
|
72 |
70 |
$13.00 |
| 99401 |
|
13 |
13 |
$7.00 |
| 90723 |
|
12 |
12 |
$4.00 |
| 36416 |
|
16 |
16 |
$1.80 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |