| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,532 |
25,278 |
$1.47M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17,934 |
16,602 |
$1.42M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,085 |
11,785 |
$959K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,637 |
10,516 |
$873K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
5,920 |
1,294 |
$791K |
| 99215 |
Prolong outpt/office vis |
4,006 |
3,768 |
$487K |
| 99460 |
|
5,719 |
5,663 |
$463K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
7,526 |
7,417 |
$461K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
2,399 |
2,350 |
$458K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
3,475 |
906 |
$446K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27,413 |
15,789 |
$263K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22,327 |
22,047 |
$257K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,947 |
2,901 |
$253K |
| 54150 |
|
2,053 |
2,031 |
$172K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,274 |
1,261 |
$171K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
731 |
715 |
$116K |
| 99222 |
Initial hospital care, per day, moderate complexity |
981 |
967 |
$108K |
| 93320 |
|
2,463 |
2,412 |
$108K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,890 |
8,402 |
$102K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,307 |
2,223 |
$84K |
| 90474 |
|
7,320 |
7,206 |
$71K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
166 |
50 |
$68K |
| 99205 |
Prolong outpt/office vis |
315 |
312 |
$53K |
| 93325 |
|
2,629 |
2,571 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
486 |
477 |
$44K |
| 99462 |
|
1,072 |
934 |
$42K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
835 |
432 |
$42K |
| 96112 |
|
372 |
370 |
$42K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
302 |
297 |
$39K |
| 99219 |
|
403 |
399 |
$39K |
| 99245 |
|
189 |
188 |
$33K |
| 93000 |
|
1,954 |
1,927 |
$25K |
| 99217 |
|
299 |
297 |
$19K |
| 99464 |
|
175 |
175 |
$13K |
| 90834 |
Psychotherapy, 45 minutes with patient |
111 |
87 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
982 |
973 |
$8K |
| 81002 |
|
1,836 |
1,803 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
66 |
25 |
$5K |
| 99477 |
|
12 |
12 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
276 |
274 |
$4K |
| 99000 |
|
334 |
318 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
32 |
$3K |
| 95251 |
|
267 |
256 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
26 |
26 |
$2K |
| 93225 |
|
102 |
102 |
$2K |
| 99243 |
|
12 |
12 |
$1K |
| 96160 |
|
629 |
601 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$943.83 |
| 99381 |
|
12 |
12 |
$903.56 |
| 93227 |
|
54 |
53 |
$808.96 |
| 76825 |
|
12 |
12 |
$689.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
63 |
57 |
$679.96 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
18 |
13 |
$662.18 |
| 0072A |
|
13 |
13 |
$567.20 |
| 76827 |
|
12 |
12 |
$238.62 |
| 87807 |
|
14 |
14 |
$167.42 |
| 88720 |
|
18 |
13 |
$82.32 |
| 90677 |
|
1,267 |
1,260 |
$0.94 |
| 90697 |
|
855 |
849 |
$0.64 |
| 90686 |
|
4,830 |
4,765 |
$0.17 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13,105 |
12,702 |
$0.09 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
13,110 |
12,693 |
$0.07 |
| 91307 |
|
12 |
12 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
521 |
513 |
$0.01 |
| 90680 |
|
7,387 |
7,257 |
$0.00 |
| 90723 |
|
4,287 |
4,198 |
$0.00 |
| 90698 |
|
1,733 |
1,702 |
$0.00 |
| 3008F |
|
1,463 |
1,433 |
$0.00 |
| 3074F |
|
458 |
448 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
1,052 |
1,027 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
427 |
421 |
$0.00 |
| 90696 |
|
106 |
105 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,384 |
1,363 |
$0.00 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
799 |
733 |
$0.00 |
| 90651 |
|
128 |
121 |
$0.00 |
| 1036F |
|
141 |
138 |
$0.00 |
| 1121F |
|
17 |
17 |
$0.00 |
| 90670 |
|
9,843 |
9,661 |
$0.00 |
| 90648 |
|
5,191 |
5,083 |
$0.00 |
| 90710 |
|
2,153 |
2,119 |
$0.00 |
| 90633 |
|
3,034 |
2,981 |
$0.00 |
| 90700 |
|
96 |
94 |
$0.00 |
| G9920 |
Screening performed and negative |
1,640 |
1,620 |
$0.00 |
| 90734 |
|
21 |
20 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
1,071 |
1,045 |
$0.00 |
| 3078F |
|
340 |
333 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
52 |
52 |
$0.00 |
| 90715 |
|
13 |
12 |
$0.00 |