| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,830 |
16,650 |
$745K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,648 |
8,253 |
$530K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
875 |
795 |
$70K |
| 90651 |
|
1,265 |
1,257 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
571 |
564 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
369 |
362 |
$33K |
| 90686 |
|
2,568 |
2,522 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
336 |
309 |
$14K |
| 0001A |
|
232 |
199 |
$9K |
| 90715 |
|
562 |
555 |
$8K |
| G0008 |
Administration of influenza virus vaccine |
697 |
687 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
66 |
$6K |
| 90707 |
|
199 |
199 |
$5K |
| 0002A |
|
233 |
187 |
$5K |
| 90698 |
|
1,179 |
1,154 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
88 |
37 |
$4K |
| 90670 |
|
840 |
833 |
$4K |
| 90732 |
|
43 |
43 |
$3K |
| 90750 |
|
26 |
26 |
$3K |
| 90633 |
|
548 |
538 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
514 |
495 |
$2K |
| 90734 |
|
223 |
223 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
71 |
65 |
$2K |
| 90744 |
|
416 |
413 |
$2K |
| 0011A |
|
37 |
36 |
$2K |
| 0012A |
|
34 |
34 |
$2K |
| 0054A |
|
47 |
46 |
$2K |
| 0004A |
|
97 |
97 |
$2K |
| 90680 |
|
431 |
416 |
$1K |
| 80305 |
|
68 |
63 |
$951.95 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$894.03 |
| 90688 |
|
62 |
62 |
$883.05 |
| 3074F |
|
152 |
148 |
$880.00 |
| 3079F |
|
189 |
188 |
$825.00 |
| 90746 |
|
14 |
14 |
$810.56 |
| 0071A |
|
65 |
65 |
$650.00 |
| 3077F |
|
152 |
150 |
$580.00 |
| 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) |
372 |
356 |
$515.85 |
| 90696 |
|
64 |
58 |
$439.10 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
12 |
12 |
$386.14 |
| 90656 |
|
294 |
294 |
$368.24 |
| 90710 |
|
47 |
47 |
$368.00 |
| 0051A |
|
15 |
15 |
$348.17 |
| 3078F |
|
70 |
69 |
$290.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
503 |
413 |
$265.53 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
26 |
$241.00 |
| 0052A |
|
29 |
29 |
$211.33 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$198.45 |
| 3080F |
|
28 |
27 |
$150.00 |
| 0072A |
|
71 |
71 |
$150.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
12 |
12 |
$142.63 |
| 86580 |
|
32 |
28 |
$133.60 |
| 3075F |
|
39 |
37 |
$130.00 |
| 99173 |
|
286 |
285 |
$121.05 |
| 90716 |
|
15 |
14 |
$120.00 |
| 92551 |
|
151 |
150 |
$108.46 |
| 96127 |
|
49 |
49 |
$58.53 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$0.96 |
| 3008F |
|
1,509 |
1,415 |
$0.00 |
| 90677 |
|
500 |
431 |
$0.00 |
| 90619 |
|
144 |
142 |
$0.00 |
| 96160 |
|
59 |
55 |
$0.00 |
| 0124A |
|
27 |
27 |
$0.00 |