| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
540,228 |
515,718 |
$3.62M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
69,334 |
67,731 |
$2.34M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
98,728 |
94,898 |
$932K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
98,322 |
97,639 |
$904K |
| 92551 |
|
183,673 |
183,174 |
$576K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
78,635 |
78,217 |
$532K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
45,162 |
44,927 |
$309K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
57,273 |
47,581 |
$303K |
| 90670 |
|
48,462 |
48,128 |
$140K |
| 90686 |
|
120,469 |
119,969 |
$119K |
| 90698 |
|
31,387 |
31,173 |
$95K |
| 99381 |
|
1,877 |
1,850 |
$94K |
| 90680 |
|
22,209 |
22,030 |
$79K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,651 |
15,333 |
$64K |
| 0072A |
|
2,034 |
1,777 |
$61K |
| 90480 |
|
1,481 |
1,470 |
$59K |
| 0071A |
|
2,126 |
1,750 |
$57K |
| 90744 |
|
14,313 |
14,210 |
$51K |
| 90677 |
|
8,441 |
8,383 |
$46K |
| G9920 |
Screening performed and negative |
14,324 |
14,310 |
$38K |
| 90697 |
|
10,617 |
10,545 |
$37K |
| 99215 |
Prolong outpt/office vis |
2,412 |
2,344 |
$31K |
| 90633 |
|
19,895 |
19,733 |
$26K |
| 99000 |
|
71,589 |
70,071 |
$25K |
| 88720 |
|
6,162 |
4,394 |
$23K |
| 99460 |
|
467 |
466 |
$23K |
| 90651 |
|
17,695 |
17,622 |
$21K |
| 96127 |
|
93,499 |
64,680 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14,136 |
9,575 |
$16K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
28,918 |
28,669 |
$15K |
| 94760 |
|
42,721 |
41,134 |
$14K |
| 85018 |
|
64,127 |
62,751 |
$14K |
| 90716 |
|
7,045 |
6,991 |
$10K |
| 99383 |
|
584 |
581 |
$10K |
| 90707 |
|
6,575 |
6,510 |
$9K |
| 90656 |
|
9,310 |
9,300 |
$8K |
| 90734 |
|
6,342 |
6,317 |
$8K |
| 99384 |
|
441 |
433 |
$8K |
| 91320 |
|
183 |
183 |
$7K |
| 91319 |
|
180 |
180 |
$7K |
| 90700 |
|
5,330 |
5,299 |
$7K |
| 83655 |
|
8,975 |
8,951 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14,299 |
14,182 |
$6K |
| 0154A |
|
116 |
116 |
$5K |
| 90688 |
|
4,281 |
4,191 |
$4K |
| 90710 |
|
3,921 |
3,904 |
$4K |
| 0124A |
|
106 |
106 |
$4K |
| 90715 |
|
5,297 |
5,274 |
$4K |
| 90619 |
|
4,293 |
4,282 |
$4K |
| 90696 |
|
3,666 |
3,651 |
$4K |
| 90685 |
|
2,028 |
1,920 |
$3K |
| 0082A |
|
78 |
78 |
$3K |
| 91318 |
|
65 |
65 |
$3K |
| 0081A |
|
65 |
65 |
$3K |
| 90713 |
|
1,427 |
1,419 |
$2K |
| 0173A |
|
42 |
41 |
$2K |
| 99382 |
|
73 |
71 |
$2K |
| 80061 |
Lipid panel |
2,851 |
2,845 |
$1K |
| 90648 |
|
1,075 |
1,068 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,017 |
1,004 |
$1K |
| 0074A |
|
29 |
29 |
$1K |
| 99188 |
|
243 |
243 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
29 |
29 |
$1K |
| 99072 |
|
60,369 |
57,196 |
$915.44 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
15 |
14 |
$860.92 |
| 81002 |
|
5,928 |
5,721 |
$764.90 |
| 90620 |
|
493 |
493 |
$758.78 |
| 0002A |
|
27 |
27 |
$700.00 |
| 92552 |
|
461 |
459 |
$629.22 |
| 0054A |
|
15 |
15 |
$600.00 |
| 96156 |
|
200,924 |
199,105 |
$532.90 |
| 0083A |
|
13 |
13 |
$520.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
314 |
288 |
$500.21 |
| 90674 |
|
699 |
698 |
$441.00 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
14 |
14 |
$351.68 |
| 96161 |
|
6,527 |
6,373 |
$340.13 |
| 94664 |
|
611 |
586 |
$278.61 |
| 99173 |
|
97,078 |
96,881 |
$244.96 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
115 |
108 |
$236.90 |
| 94060 |
|
44 |
42 |
$235.06 |
| 0001A |
|
29 |
29 |
$220.00 |
| 99174 |
|
5,580 |
5,554 |
$140.62 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
147 |
146 |
$113.38 |
| 1036F |
|
26,529 |
26,496 |
$111.97 |
| 90381 |
|
44 |
44 |
$108.00 |
| 90672 |
|
209 |
209 |
$80.64 |
| 99243 |
|
12 |
12 |
$64.26 |
| 86580 |
|
109 |
109 |
$51.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
76 |
76 |
$44.00 |
| 82948 |
|
88 |
87 |
$7.01 |
| 96160 |
|
7,117 |
6,715 |
$5.00 |
| 36416 |
|
38,336 |
37,016 |
$0.00 |
| 91307 |
|
1,160 |
1,113 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
305 |
289 |
$0.00 |
| A4620 |
Variable concentration mask |
216 |
198 |
$0.00 |
| 92567 |
|
49 |
48 |
$0.00 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
14 |
14 |
$0.00 |
| 3351F |
|
13 |
13 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| 69210 |
|
18 |
14 |
$0.00 |