| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,570 |
10,515 |
$451K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,094 |
4,673 |
$256K |
| 86328 |
|
4,154 |
3,869 |
$169K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,146 |
1,941 |
$161K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,986 |
1,972 |
$155K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,183 |
4,003 |
$108K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,681 |
3,653 |
$99K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
888 |
871 |
$71K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,101 |
1,074 |
$64K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
651 |
617 |
$51K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,296 |
4,179 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,617 |
2,493 |
$34K |
| 99383 |
|
166 |
165 |
$15K |
| 87807 |
|
1,064 |
1,019 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
432 |
409 |
$10K |
| 90461 |
|
2,702 |
2,369 |
$10K |
| 99050 |
|
381 |
348 |
$5K |
| 99384 |
|
46 |
45 |
$4K |
| 99382 |
|
41 |
39 |
$3K |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
115 |
111 |
$3K |
| 99000 |
|
197 |
194 |
$2K |
| 99381 |
|
16 |
13 |
$1K |
| Q3014 |
Telehealth originating site facility fee |
220 |
213 |
$1K |
| 96161 |
|
704 |
685 |
$987.74 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$652.30 |
| 87802 |
|
78 |
43 |
$547.92 |
| 81002 |
|
101 |
97 |
$265.29 |
| 90670 |
|
1,204 |
1,189 |
$258.33 |
| 90633 |
|
757 |
751 |
$34.55 |
| 90648 |
|
297 |
294 |
$23.42 |
| 90677 |
|
425 |
417 |
$0.28 |
| 90680 |
|
1,007 |
992 |
$0.27 |
| 90686 |
|
435 |
433 |
$0.25 |
| 90710 |
|
484 |
479 |
$0.17 |
| 90656 |
|
218 |
215 |
$0.13 |
| 90697 |
|
544 |
539 |
$0.11 |
| 90698 |
|
157 |
155 |
$0.06 |
| 90700 |
|
220 |
220 |
$0.05 |
| 90696 |
|
74 |
74 |
$0.04 |
| 90723 |
|
147 |
146 |
$0.02 |
| 90685 |
|
16 |
16 |
$0.02 |
| 90734 |
|
123 |
122 |
$0.02 |
| 90655 |
|
78 |
78 |
$0.02 |
| 90634 |
|
12 |
12 |
$0.01 |
| 90651 |
|
33 |
33 |
$0.01 |
| 90716 |
|
13 |
13 |
$0.01 |
| 90707 |
|
13 |
13 |
$0.01 |
| 90650 |
|
17 |
17 |
$0.00 |
| 3351F |
|
66 |
64 |
$0.00 |
| 96127 |
|
73 |
73 |
$0.00 |
| 90620 |
|
19 |
18 |
$0.00 |
| 90647 |
|
18 |
18 |
$0.00 |
| 90715 |
|
28 |
28 |
$0.00 |