| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,848 |
26,804 |
$856K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,920 |
12,176 |
$727K |
| 97802 |
|
3,761 |
3,651 |
$111K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,858 |
6,683 |
$107K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,729 |
1,400 |
$96K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,521 |
7,353 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,701 |
1,692 |
$68K |
| 92552 |
|
4,427 |
4,387 |
$57K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,372 |
1,330 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
876 |
872 |
$41K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,454 |
4,410 |
$32K |
| 90651 |
|
283 |
282 |
$31K |
| 90670 |
|
182 |
180 |
$23K |
| 85018 |
|
8,485 |
8,335 |
$22K |
| 90834 |
Psychotherapy, 45 minutes with patient |
281 |
262 |
$20K |
| 99215 |
Prolong outpt/office vis |
209 |
199 |
$15K |
| 90698 |
|
147 |
144 |
$13K |
| 90716 |
|
161 |
157 |
$13K |
| 90734 |
|
192 |
191 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
256 |
240 |
$10K |
| 94760 |
|
2,497 |
2,327 |
$10K |
| 90686 |
|
1,716 |
1,705 |
$8K |
| 99078 |
|
303 |
198 |
$8K |
| 97811 |
|
949 |
711 |
$7K |
| 90658 |
|
650 |
650 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
53 |
53 |
$7K |
| 97810 |
|
952 |
711 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
59 |
58 |
$5K |
| 90707 |
|
91 |
89 |
$4K |
| D1206 |
Topical application of fluoride varnish |
134 |
128 |
$3K |
| 82948 |
|
1,020 |
960 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
221 |
219 |
$2K |
| 81000 |
|
2,292 |
2,127 |
$2K |
| 90715 |
|
45 |
44 |
$2K |
| 90633 |
|
93 |
92 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
91 |
91 |
$2K |
| 90680 |
|
26 |
25 |
$1K |
| 90685 |
|
68 |
68 |
$901.88 |
| 90696 |
|
26 |
26 |
$854.80 |
| 90655 |
|
28 |
28 |
$833.04 |
| 90688 |
|
207 |
202 |
$756.00 |
| 81025 |
|
661 |
644 |
$629.16 |
| 90660 |
|
31 |
31 |
$506.79 |
| 86580 |
|
791 |
788 |
$473.91 |
| 90744 |
|
12 |
12 |
$385.56 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
34 |
26 |
$300.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
349 |
348 |
$212.86 |
| 92551 |
|
634 |
633 |
$203.81 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
321 |
317 |
$145.31 |
| 90733 |
|
32 |
32 |
$94.50 |
| 81002 |
|
38 |
25 |
$85.88 |
| 98925 |
|
76 |
49 |
$30.33 |
| 87084 |
|
89 |
89 |
$19.70 |
| 98940 |
|
29 |
24 |
$17.56 |
| 99173 |
|
442 |
439 |
$13.35 |
| 90700 |
|
13 |
13 |
$12.00 |
| 87081 |
|
30 |
29 |
$11.92 |
| H0049 |
Alcohol and/or drug screening |
70 |
68 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
41 |
41 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 99384 |
|
15 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
485 |
466 |
$0.00 |
| 96160 |
|
290 |
289 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
27 |
18 |
$0.00 |
| 90687 |
|
47 |
47 |
$0.00 |
| 90649 |
|
38 |
38 |
$0.00 |