| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,315 |
16,377 |
$892K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,434 |
20,074 |
$818K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,133 |
4,962 |
$164K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,193 |
2,070 |
$123K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,147 |
1,095 |
$66K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
888 |
879 |
$58K |
| 99460 |
|
631 |
605 |
$49K |
| 90461 |
|
1,613 |
1,543 |
$38K |
| 99233 |
Prolong inpt eval add15 m |
557 |
202 |
$28K |
| 99223 |
Prolong inpt eval add15 m |
140 |
131 |
$16K |
| 99462 |
|
292 |
259 |
$10K |
| 99188 |
|
463 |
460 |
$8K |
| 99217 |
|
132 |
129 |
$8K |
| 99220 |
|
66 |
65 |
$7K |
| 54150 |
|
108 |
104 |
$7K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
26 |
26 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
101 |
36 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
41 |
39 |
$3K |
| 59025 |
Fetal non-stress test |
107 |
87 |
$2K |
| 99336 |
|
44 |
44 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
34 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| 96161 |
|
211 |
201 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
19 |
17 |
$2K |
| 99219 |
|
13 |
13 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 99335 |
|
39 |
39 |
$1K |
| 99349 |
|
43 |
39 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
13 |
$974.00 |
| 99078 |
|
14 |
12 |
$360.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
25 |
$191.12 |
| 90677 |
|
126 |
120 |
$0.40 |
| 90686 |
|
636 |
627 |
$0.22 |
| 90685 |
|
12 |
12 |
$0.04 |
| 90670 |
|
679 |
654 |
$0.03 |
| 90680 |
|
279 |
269 |
$0.03 |
| 90723 |
|
476 |
454 |
$0.03 |
| 90647 |
|
438 |
419 |
$0.02 |
| 90656 |
|
30 |
30 |
$0.02 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
140 |
121 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 3046F |
|
14 |
14 |
$0.00 |