| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,217 |
6,664 |
$371K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,552 |
3,384 |
$262K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,343 |
900 |
$88K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
787 |
783 |
$71K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
734 |
728 |
$60K |
| 99223 |
Prolong inpt eval add15 m |
441 |
424 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
430 |
422 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
449 |
439 |
$30K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
664 |
634 |
$26K |
| 99222 |
Initial hospital care, per day, moderate complexity |
352 |
341 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
323 |
321 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,683 |
2,631 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,774 |
2,669 |
$17K |
| 90682 |
|
298 |
295 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
182 |
181 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,027 |
1,014 |
$11K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,377 |
1,343 |
$11K |
| 84443 |
Thyroid stimulating hormone (TSH) |
814 |
803 |
$10K |
| 80061 |
Lipid panel |
771 |
748 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
832 |
817 |
$7K |
| 99496 |
|
51 |
51 |
$6K |
| 90686 |
|
600 |
592 |
$5K |
| 93000 |
|
426 |
419 |
$4K |
| 90715 |
|
155 |
153 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
117 |
112 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
235 |
117 |
$3K |
| 92551 |
|
367 |
366 |
$2K |
| 84460 |
|
579 |
555 |
$2K |
| 84450 |
|
493 |
469 |
$2K |
| 90750 |
|
12 |
12 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
147 |
136 |
$1K |
| 90688 |
|
104 |
100 |
$1K |
| 81002 |
|
576 |
558 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
102 |
102 |
$1K |
| 81003 |
|
556 |
535 |
$965.63 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
92 |
84 |
$952.20 |
| 84439 |
|
114 |
114 |
$838.59 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
12 |
$725.04 |
| 81025 |
|
80 |
78 |
$484.14 |
| 80053 |
Comprehensive metabolic panel |
48 |
48 |
$437.37 |
| 90670 |
|
94 |
93 |
$420.44 |
| 90651 |
|
32 |
31 |
$401.42 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
28 |
28 |
$266.80 |
| 94010 |
|
14 |
13 |
$225.93 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14 |
14 |
$148.66 |
| 90474 |
|
27 |
27 |
$84.90 |
| 3008F |
|
3,734 |
3,429 |
$28.62 |
| 99406 |
|
782 |
729 |
$26.54 |
| 98966 |
|
354 |
282 |
$9.37 |
| 99421 |
|
15 |
15 |
$5.52 |
| 3074F |
|
6,409 |
5,946 |
$0.51 |
| 3078F |
|
5,074 |
4,749 |
$0.36 |
| 3011F |
|
1,792 |
1,150 |
$0.32 |
| 3079F |
|
2,345 |
2,220 |
$0.29 |
| 3075F |
|
992 |
954 |
$0.14 |
| 98967 |
|
34 |
26 |
$0.08 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,873 |
3,757 |
$0.07 |
| 4000F |
|
474 |
449 |
$0.07 |
| 3077F |
|
693 |
656 |
$0.06 |
| 4010F |
|
69 |
61 |
$0.04 |
| G9002 |
Coordinated care fee, maintenance rate |
55 |
52 |
$0.04 |
| 3080F |
|
667 |
631 |
$0.03 |
| 2022F |
|
27 |
25 |
$0.01 |
| 4086F |
|
815 |
744 |
$0.00 |
| 3044F |
|
218 |
211 |
$0.00 |
| 3072F |
|
15 |
12 |
$0.00 |
| 90698 |
|
24 |
24 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
192 |
189 |
$0.00 |
| 90633 |
|
43 |
43 |
$0.00 |
| 99173 |
|
200 |
197 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90685 |
|
26 |
26 |
$0.00 |