| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
11,770 |
11,487 |
$651K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,706 |
33,195 |
$383K |
| 99381 |
|
2,068 |
2,064 |
$223K |
| G9920 |
Screening performed and negative |
19,647 |
19,599 |
$173K |
| 99460 |
|
3,361 |
3,348 |
$163K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,480 |
11,436 |
$162K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,485 |
7,467 |
$106K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20,628 |
16,687 |
$88K |
| 92551 |
|
14,124 |
14,086 |
$73K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,950 |
4,948 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,710 |
4,705 |
$68K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,477 |
1,468 |
$59K |
| 99462 |
|
1,884 |
1,875 |
$48K |
| 90670 |
|
5,269 |
5,222 |
$26K |
| 90698 |
|
4,571 |
4,526 |
$24K |
| 90681 |
|
3,797 |
3,777 |
$23K |
| 90686 |
|
9,739 |
9,695 |
$20K |
| 90671 |
|
3,039 |
3,033 |
$17K |
| 90697 |
|
1,959 |
1,953 |
$16K |
| 90744 |
|
2,601 |
2,576 |
$16K |
| 0071A |
|
379 |
375 |
$15K |
| 0072A |
|
376 |
374 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,654 |
1,640 |
$9K |
| 90707 |
|
3,472 |
3,459 |
$9K |
| 90633 |
|
3,863 |
3,836 |
$9K |
| 90716 |
|
3,427 |
3,416 |
$9K |
| 90700 |
|
3,574 |
3,560 |
$9K |
| 85018 |
|
18,156 |
18,107 |
$6K |
| 90680 |
|
879 |
855 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,050 |
1,962 |
$5K |
| 90713 |
|
1,613 |
1,606 |
$5K |
| 0081A |
|
122 |
122 |
$5K |
| 0002A |
|
113 |
113 |
$4K |
| 0001A |
|
114 |
109 |
$4K |
| 0082A |
|
101 |
101 |
$4K |
| 0124A |
|
100 |
98 |
$4K |
| 90648 |
|
1,765 |
1,753 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
271 |
271 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
90 |
61 |
$3K |
| 99406 |
|
4,224 |
4,216 |
$3K |
| 90651 |
|
1,781 |
1,744 |
$3K |
| 90620 |
|
1,347 |
1,344 |
$2K |
| 0003A |
|
57 |
57 |
$2K |
| 90734 |
|
1,211 |
1,202 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,931 |
2,927 |
$2K |
| 0154A |
|
41 |
41 |
$2K |
| 90715 |
|
813 |
808 |
$2K |
| 90688 |
|
302 |
301 |
$1K |
| 90649 |
|
770 |
769 |
$1K |
| 99173 |
|
11,186 |
11,163 |
$1K |
| 90380 |
|
147 |
147 |
$1K |
| 88720 |
|
287 |
268 |
$1K |
| 86580 |
|
352 |
348 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
47 |
40 |
$1K |
| 99383 |
|
55 |
55 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
63 |
63 |
$952.44 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$948.72 |
| 90656 |
|
479 |
479 |
$924.00 |
| 90619 |
|
611 |
605 |
$861.89 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
504 |
502 |
$812.57 |
| 0073A |
|
14 |
14 |
$560.00 |
| 90685 |
|
123 |
123 |
$531.00 |
| 0083A |
|
13 |
13 |
$520.00 |
| 0173A |
|
12 |
12 |
$480.00 |
| 83655 |
|
1,199 |
1,189 |
$439.21 |
| 90381 |
|
65 |
65 |
$344.00 |
| 90658 |
|
244 |
244 |
$309.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$255.02 |
| 90655 |
|
51 |
51 |
$177.00 |
| 99382 |
|
18 |
18 |
$174.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,184 |
1,177 |
$167.68 |
| 99188 |
|
215 |
214 |
$90.00 |
| 96127 |
|
51 |
51 |
$38.13 |
| 99177 |
|
4,640 |
4,624 |
$29.00 |
| 90791 |
Psychiatric diagnostic evaluation |
362 |
362 |
$9.90 |
| 90461 |
|
69 |
69 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
681 |
681 |
$0.00 |
| 36416 |
|
1,913 |
1,911 |
$0.00 |
| 3351F |
|
29 |
29 |
$0.00 |