| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,591 |
5,491 |
$292K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,013 |
1,853 |
$157K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,424 |
969 |
$104K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,547 |
934 |
$76K |
| 90837 |
Psychotherapy, 53 minutes with patient |
717 |
525 |
$73K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
754 |
705 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
664 |
564 |
$34K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
271 |
255 |
$29K |
| 99223 |
Prolong inpt eval add15 m |
218 |
213 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
397 |
371 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
754 |
655 |
$14K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
331 |
142 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
144 |
136 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
501 |
434 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
515 |
263 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
71 |
58 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
81 |
76 |
$6K |
| 90670 |
|
363 |
325 |
$5K |
| 90648 |
|
382 |
344 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
105 |
95 |
$2K |
| 90710 |
|
56 |
43 |
$2K |
| 90723 |
|
168 |
152 |
$2K |
| 90680 |
|
123 |
112 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
17 |
$1K |
| 90686 |
|
148 |
141 |
$1K |
| 90696 |
|
24 |
13 |
$1K |
| 90633 |
|
67 |
60 |
$966.77 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
15 |
$943.26 |
| 20610 |
|
13 |
12 |
$864.53 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
12 |
$498.00 |
| 81002 |
|
15 |
12 |
$481.91 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
29 |
27 |
$261.01 |
| 94726 |
|
19 |
19 |
$233.90 |
| 94729 |
|
20 |
20 |
$233.70 |
| 90474 |
|
13 |
12 |
$189.83 |
| 94375 |
|
12 |
12 |
$161.50 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
29 |
27 |
$146.53 |
| J3490 |
Unclassified drugs |
16 |
14 |
$76.30 |
| 99024 |
|
24 |
16 |
$0.00 |