| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,002 |
9,367 |
$577K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,054 |
4,849 |
$410K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,856 |
2,815 |
$257K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,235 |
4,157 |
$144K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,599 |
1,390 |
$94K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,735 |
3,640 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
548 |
544 |
$47K |
| 90473 |
|
1,963 |
1,927 |
$40K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
426 |
422 |
$26K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
252 |
243 |
$23K |
| 99460 |
|
235 |
234 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
123 |
120 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
742 |
725 |
$6K |
| 99307 |
|
421 |
407 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
123 |
120 |
$4K |
| 83655 |
|
296 |
289 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
28 |
24 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
28 |
28 |
$2K |
| 90474 |
|
180 |
180 |
$2K |
| 82247 |
|
299 |
224 |
$2K |
| 86756 |
|
94 |
93 |
$1K |
| 36416 |
|
473 |
415 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
505 |
463 |
$1K |
| 54450 |
|
14 |
14 |
$732.20 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$689.22 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$612.81 |
| 90756 |
|
29 |
29 |
$521.70 |
| 87430 |
|
31 |
31 |
$446.54 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25 |
25 |
$372.50 |
| 82951 |
|
35 |
30 |
$357.50 |
| 90715 |
|
27 |
27 |
$318.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
13 |
$250.91 |
| 99174 |
|
14 |
14 |
$70.98 |
| 90670 |
|
3,158 |
3,107 |
$32.11 |
| 85018 |
|
13 |
13 |
$27.55 |
| 90723 |
|
2,451 |
2,425 |
$25.46 |
| 90647 |
|
1,385 |
1,367 |
$15.02 |
| 90686 |
|
492 |
481 |
$9.53 |
| 90648 |
|
941 |
915 |
$9.01 |
| 90633 |
|
797 |
775 |
$7.43 |
| 90685 |
|
697 |
689 |
$6.71 |
| 90700 |
|
306 |
301 |
$2.92 |
| 90707 |
|
178 |
174 |
$1.69 |
| 90716 |
|
175 |
171 |
$1.63 |
| 90681 |
|
2,248 |
2,228 |
$1.55 |
| 90710 |
|
35 |
35 |
$0.35 |
| 90734 |
|
27 |
27 |
$0.27 |
| 90649 |
|
18 |
18 |
$0.18 |
| 54150 |
|
40 |
39 |
$0.00 |