| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,671 |
13,917 |
$662K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,121 |
5,720 |
$363K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,856 |
2,798 |
$245K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,910 |
2,829 |
$185K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,524 |
1,515 |
$134K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,191 |
2,152 |
$116K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,343 |
1,314 |
$112K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,509 |
471 |
$53K |
| 98927 |
|
1,858 |
1,619 |
$52K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,491 |
4,214 |
$52K |
| 95886 |
|
1,107 |
1,076 |
$52K |
| 99223 |
Prolong inpt eval add15 m |
483 |
406 |
$47K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,763 |
6,556 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
577 |
569 |
$46K |
| 99381 |
|
483 |
482 |
$41K |
| 98926 |
|
1,801 |
1,523 |
$38K |
| 98928 |
|
1,005 |
904 |
$32K |
| 99233 |
Prolong inpt eval add15 m |
636 |
163 |
$28K |
| 99243 |
|
283 |
282 |
$19K |
| 64483 |
|
161 |
156 |
$18K |
| 95913 |
|
152 |
150 |
$16K |
| 95910 |
|
225 |
223 |
$16K |
| 98925 |
|
840 |
752 |
$13K |
| 94060 |
|
445 |
441 |
$12K |
| 99221 |
|
254 |
235 |
$12K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
864 |
810 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
774 |
678 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
324 |
314 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
189 |
184 |
$7K |
| 99460 |
|
123 |
121 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
449 |
441 |
$6K |
| 90474 |
|
1,964 |
1,893 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
273 |
272 |
$3K |
| 99188 |
|
301 |
293 |
$2K |
| 81003 |
|
1,295 |
1,223 |
$2K |
| 64640 |
|
13 |
13 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
69 |
33 |
$2K |
| 52000 |
|
14 |
14 |
$1K |
| 51798 |
|
270 |
250 |
$1K |
| 64493 |
|
15 |
14 |
$1K |
| 96127 |
|
421 |
409 |
$1K |
| 95909 |
|
26 |
25 |
$1K |
| 99000 |
|
65 |
65 |
$785.68 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$688.23 |
| 94726 |
|
101 |
84 |
$658.35 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
599 |
573 |
$545.00 |
| 98929 |
|
14 |
12 |
$521.43 |
| 64494 |
|
15 |
14 |
$412.54 |
| 99462 |
|
15 |
13 |
$350.70 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
168 |
162 |
$309.29 |
| 90651 |
|
200 |
198 |
$229.34 |
| 81002 |
|
76 |
75 |
$156.16 |
| 94729 |
|
34 |
33 |
$154.50 |
| 90685 |
|
273 |
265 |
$10.00 |
| 90698 |
|
1,996 |
1,941 |
$0.00 |
| 94760 |
|
13 |
13 |
$0.00 |
| 90696 |
|
208 |
200 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
719 |
704 |
$0.00 |
| 90716 |
|
862 |
819 |
$0.00 |
| 90680 |
|
1,534 |
1,489 |
$0.00 |
| 90744 |
|
1,220 |
1,175 |
$0.00 |
| 90688 |
|
141 |
140 |
$0.00 |
| 90686 |
|
758 |
755 |
$0.00 |
| 90707 |
|
859 |
817 |
$0.00 |
| 90633 |
|
972 |
943 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
272 |
265 |
$0.00 |
| 90670 |
|
2,033 |
1,978 |
$0.00 |
| 90734 |
|
157 |
155 |
$0.00 |
| 90715 |
|
73 |
72 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| G9002 |
Coordinated care fee, maintenance rate |
47 |
41 |
$0.00 |