| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,476 |
14,647 |
$1.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,826 |
5,242 |
$581K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,183 |
4,071 |
$403K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,711 |
3,306 |
$306K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,819 |
1,757 |
$173K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,705 |
7,442 |
$90K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,676 |
3,568 |
$58K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
526 |
501 |
$55K |
| 92551 |
|
4,275 |
4,000 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,068 |
940 |
$45K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
593 |
561 |
$32K |
| 99460 |
|
511 |
481 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,052 |
984 |
$24K |
| 90677 |
|
593 |
553 |
$21K |
| 99462 |
|
648 |
478 |
$16K |
| 90670 |
|
1,396 |
1,349 |
$14K |
| 90697 |
|
136 |
128 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
2,261 |
2,029 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
615 |
586 |
$8K |
| 90686 |
|
3,652 |
3,535 |
$8K |
| 90461 |
|
168 |
159 |
$5K |
| 96112 |
|
41 |
41 |
$4K |
| 99173 |
|
3,739 |
3,414 |
$4K |
| 96127 |
|
554 |
515 |
$4K |
| 90474 |
|
298 |
294 |
$3K |
| 90698 |
|
595 |
573 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
217 |
213 |
$3K |
| 90633 |
|
858 |
830 |
$3K |
| 36406 |
|
163 |
162 |
$2K |
| 99381 |
|
29 |
25 |
$2K |
| 99383 |
|
17 |
17 |
$2K |
| 90734 |
|
64 |
59 |
$2K |
| 90716 |
|
169 |
157 |
$2K |
| 90380 |
|
28 |
27 |
$1K |
| 83015 |
|
725 |
700 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
106 |
106 |
$1K |
| 90651 |
|
66 |
65 |
$1K |
| 81025 |
|
174 |
167 |
$1K |
| 0071A |
|
32 |
32 |
$1K |
| 0072A |
|
21 |
21 |
$760.00 |
| 90688 |
|
55 |
51 |
$706.70 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
31 |
26 |
$705.62 |
| 96160 |
|
545 |
506 |
$691.32 |
| 96380 |
|
46 |
44 |
$669.08 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
30 |
30 |
$569.77 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
58 |
58 |
$505.48 |
| 96161 |
|
237 |
216 |
$491.08 |
| 90707 |
|
88 |
86 |
$387.79 |
| 90723 |
|
97 |
96 |
$360.20 |
| 81002 |
|
937 |
883 |
$307.97 |
| 90681 |
|
488 |
470 |
$300.56 |
| 90710 |
|
24 |
24 |
$295.37 |
| 99051 |
|
146 |
146 |
$227.52 |
| 99188 |
|
13 |
13 |
$180.00 |
| 90715 |
|
31 |
26 |
$143.57 |
| 90656 |
|
272 |
268 |
$134.70 |
| 83655 |
|
413 |
400 |
$99.84 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$69.54 |
| 90696 |
|
26 |
25 |
$55.91 |
| 99000 |
|
2,031 |
1,695 |
$47.20 |
| 90661 |
|
77 |
77 |
$0.01 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$0.00 |
| 90672 |
|
14 |
13 |
$0.00 |
| 99072 |
|
36 |
32 |
$0.00 |
| 90647 |
|
227 |
222 |
$0.00 |
| 91307 |
|
47 |
43 |
$0.00 |
| 97802 |
|
91 |
82 |
$0.00 |