| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,032 |
15,707 |
$727K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,150 |
5,682 |
$362K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,752 |
2,678 |
$166K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,162 |
2,036 |
$126K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,052 |
2,010 |
$124K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
874 |
851 |
$52K |
| 3008F |
|
4,666 |
4,512 |
$42K |
| 99188 |
|
2,079 |
2,025 |
$26K |
| 81025 |
|
2,682 |
2,466 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
270 |
192 |
$15K |
| 99000 |
|
4,266 |
2,595 |
$13K |
| 99173 |
|
680 |
658 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
341 |
308 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,592 |
2,453 |
$8K |
| 90686 |
|
815 |
791 |
$8K |
| 90633 |
|
1,126 |
1,086 |
$7K |
| 0002A |
|
195 |
188 |
$7K |
| 0001A |
|
219 |
200 |
$7K |
| 90697 |
|
554 |
520 |
$6K |
| 90680 |
|
976 |
925 |
$6K |
| 90670 |
|
1,542 |
1,491 |
$6K |
| 90688 |
|
1,158 |
1,120 |
$6K |
| 81002 |
|
2,083 |
1,897 |
$6K |
| 92552 |
|
361 |
356 |
$5K |
| 90677 |
|
276 |
257 |
$5K |
| 90648 |
|
1,121 |
1,089 |
$5K |
| 90671 |
|
293 |
283 |
$4K |
| 86580 |
|
750 |
673 |
$4K |
| 90700 |
|
684 |
670 |
$4K |
| 90649 |
|
617 |
591 |
$4K |
| 90723 |
|
791 |
766 |
$3K |
| 90707 |
|
735 |
713 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
170 |
131 |
$3K |
| 90716 |
|
716 |
696 |
$3K |
| 90480 |
|
96 |
87 |
$3K |
| 90672 |
|
132 |
126 |
$3K |
| 99460 |
|
15 |
13 |
$2K |
| 90657 |
|
358 |
347 |
$1K |
| 0124A |
|
53 |
49 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
19 |
$1K |
| 90656 |
|
65 |
64 |
$945.00 |
| 90734 |
|
216 |
207 |
$916.99 |
| 96380 |
|
34 |
34 |
$910.80 |
| 90732 |
|
59 |
58 |
$879.79 |
| 90713 |
|
169 |
162 |
$843.18 |
| 90619 |
|
59 |
57 |
$825.30 |
| 99383 |
|
12 |
12 |
$739.08 |
| 0071A |
|
23 |
17 |
$626.59 |
| 90744 |
|
101 |
92 |
$617.51 |
| 0081A |
|
15 |
15 |
$462.50 |
| 90660 |
|
27 |
27 |
$390.00 |
| 90698 |
|
99 |
94 |
$362.10 |
| 90710 |
|
18 |
18 |
$272.70 |
| 90674 |
|
13 |
13 |
$236.20 |
| 90651 |
|
14 |
14 |
$197.70 |
| 96127 |
|
52 |
51 |
$193.92 |
| 90715 |
|
46 |
42 |
$159.37 |
| 90461 |
|
128 |
105 |
$52.20 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
191 |
166 |
$20.88 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
38 |
38 |
$18.48 |
| 91300 |
|
90 |
73 |
$1.30 |
| 90380 |
|
18 |
12 |
$0.02 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
396 |
382 |
$0.00 |
| 99406 |
|
270 |
241 |
$0.00 |