| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,311 |
10,764 |
$617K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,266 |
6,030 |
$460K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,492 |
5,490 |
$442K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,545 |
6,100 |
$425K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,026 |
2,023 |
$160K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,841 |
6,829 |
$113K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,078 |
9,052 |
$93K |
| 99215 |
Prolong outpt/office vis |
540 |
520 |
$66K |
| 99381 |
|
719 |
718 |
$60K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,003 |
2,983 |
$41K |
| 96127 |
|
7,561 |
7,438 |
$23K |
| 90474 |
|
3,082 |
3,078 |
$19K |
| 83655 |
|
1,815 |
1,815 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
170 |
170 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
306 |
304 |
$10K |
| 96161 |
|
4,961 |
4,805 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
200 |
115 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
639 |
631 |
$7K |
| 92551 |
|
1,018 |
1,010 |
$7K |
| 85018 |
|
1,971 |
1,969 |
$4K |
| 59430 |
|
12 |
12 |
$3K |
| 90715 |
|
147 |
147 |
$3K |
| 36416 |
|
1,331 |
1,331 |
$3K |
| 99078 |
|
65 |
57 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
169 |
92 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
98 |
51 |
$2K |
| 95251 |
|
83 |
71 |
$1K |
| 87428 |
|
35 |
33 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
83 |
77 |
$839.48 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$808.76 |
| 90686 |
|
1,032 |
1,031 |
$785.69 |
| 36415 |
Collection of venous blood by venipuncture |
159 |
148 |
$695.76 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
4,300 |
4,296 |
$677.60 |
| 90677 |
|
754 |
753 |
$577.32 |
| 99252 |
|
12 |
12 |
$468.49 |
| 87807 |
|
45 |
45 |
$410.11 |
| 96160 |
|
211 |
210 |
$354.56 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
52 |
52 |
$293.65 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,075 |
4,072 |
$204.75 |
| 90656 |
|
59 |
59 |
$107.00 |
| 81003 |
|
81 |
79 |
$98.95 |
| 99173 |
|
660 |
659 |
$2.10 |
| 0502F |
|
1,179 |
884 |
$0.38 |
| 90698 |
|
1,920 |
1,916 |
$0.00 |
| 90680 |
|
3,106 |
3,099 |
$0.00 |
| 3074F |
|
1,162 |
1,098 |
$0.00 |
| 90716 |
|
1,783 |
1,783 |
$0.00 |
| 90744 |
|
923 |
921 |
$0.00 |
| 3079F |
|
449 |
436 |
$0.00 |
| 90619 |
|
41 |
41 |
$0.00 |
| 90723 |
|
999 |
995 |
$0.00 |
| 90697 |
|
1,386 |
1,385 |
$0.00 |
| 90651 |
|
67 |
67 |
$0.00 |
| 90647 |
|
871 |
867 |
$0.00 |
| 90696 |
|
345 |
345 |
$0.00 |
| 3080F |
|
29 |
27 |
$0.00 |
| 3075F |
|
179 |
170 |
$0.00 |
| 0503F |
|
13 |
13 |
$0.00 |
| 3078F |
|
1,012 |
957 |
$0.00 |
| 90670 |
|
3,811 |
3,803 |
$0.00 |
| 90633 |
|
2,119 |
2,118 |
$0.00 |
| 90707 |
|
1,785 |
1,785 |
$0.00 |
| 90685 |
|
151 |
151 |
$0.00 |
| 3077F |
|
93 |
90 |
$0.00 |
| 90700 |
|
361 |
360 |
$0.00 |
| 90713 |
|
32 |
32 |
$0.00 |