| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,296 |
5,839 |
$424K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,428 |
6,692 |
$340K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,322 |
3,252 |
$217K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,570 |
2,465 |
$216K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,374 |
1,363 |
$121K |
| 99215 |
Prolong outpt/office vis |
1,240 |
1,098 |
$97K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,170 |
4,070 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
608 |
597 |
$47K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,673 |
6,526 |
$45K |
| 99381 |
|
483 |
479 |
$41K |
| 99223 |
Prolong inpt eval add15 m |
371 |
328 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
320 |
316 |
$29K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,789 |
1,504 |
$19K |
| 94010 |
|
931 |
892 |
$18K |
| 94060 |
|
522 |
507 |
$17K |
| 99188 |
|
1,411 |
1,360 |
$12K |
| 99205 |
Prolong outpt/office vis |
90 |
89 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
215 |
199 |
$9K |
| 94726 |
|
196 |
110 |
$6K |
| 96127 |
|
1,756 |
1,657 |
$6K |
| 90474 |
|
1,759 |
1,740 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
187 |
185 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
122 |
52 |
$5K |
| 99383 |
|
50 |
50 |
$5K |
| 99460 |
|
72 |
70 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
70 |
26 |
$4K |
| 99051 |
|
190 |
185 |
$2K |
| 99382 |
|
13 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$946.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
42 |
$533.91 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
15 |
$195.33 |
| 95012 |
|
15 |
14 |
$168.17 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
14 |
$157.50 |
| 81002 |
|
74 |
70 |
$145.27 |
| 90686 |
|
712 |
712 |
$133.21 |
| 90716 |
|
105 |
105 |
$127.00 |
| 92551 |
|
16 |
16 |
$110.88 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
12 |
$79.08 |
| 90670 |
|
813 |
802 |
$0.00 |
| 90734 |
|
59 |
59 |
$0.00 |
| 90710 |
|
31 |
31 |
$0.00 |
| 90633 |
|
347 |
337 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90707 |
|
123 |
123 |
$0.00 |
| 90685 |
|
53 |
52 |
$0.00 |
| 99173 |
|
33 |
31 |
$0.00 |
| G9002 |
Coordinated care fee, maintenance rate |
51 |
49 |
$0.00 |
| 90700 |
|
58 |
52 |
$0.00 |
| 90698 |
|
584 |
583 |
$0.00 |
| 90696 |
|
27 |
27 |
$0.00 |
| 90651 |
|
108 |
107 |
$0.00 |
| 90647 |
|
120 |
120 |
$0.00 |
| 90723 |
|
85 |
85 |
$0.00 |
| 90744 |
|
346 |
346 |
$0.00 |
| 90680 |
|
567 |
566 |
$0.00 |