| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,080 |
25,278 |
$1.03M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,991 |
12,806 |
$659K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,203 |
5,676 |
$492K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,804 |
5,980 |
$490K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,577 |
3,246 |
$262K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,932 |
1,773 |
$151K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,570 |
10,522 |
$145K |
| 97802 |
|
5,674 |
5,360 |
$66K |
| 99460 |
|
523 |
446 |
$25K |
| 99463 |
|
236 |
223 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
176 |
146 |
$8K |
| 85018 |
|
11,147 |
9,994 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,207 |
1,151 |
$6K |
| 81002 |
|
7,123 |
6,353 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,186 |
1,109 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
102 |
73 |
$4K |
| 99490 |
Ccm add 20min |
3,245 |
2,233 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
41 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
125 |
115 |
$3K |
| 99381 |
|
45 |
37 |
$3K |
| 99383 |
|
12 |
12 |
$1K |
| 90670 |
|
2,405 |
2,217 |
$940.79 |
| 84481 |
|
87 |
77 |
$808.66 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
13 |
$411.27 |
| 90710 |
|
74 |
72 |
$291.76 |
| 90716 |
|
53 |
53 |
$289.17 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
177 |
133 |
$270.64 |
| 90633 |
|
784 |
740 |
$262.06 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
167 |
139 |
$202.65 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$190.73 |
| 81025 |
|
137 |
120 |
$173.74 |
| 80061 |
Lipid panel |
133 |
121 |
$111.23 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
264 |
232 |
$102.73 |
| 82607 |
|
95 |
84 |
$101.76 |
| 90651 |
|
212 |
207 |
$80.00 |
| 90723 |
|
1,828 |
1,684 |
$70.00 |
| 90647 |
|
1,761 |
1,611 |
$66.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
41 |
$54.01 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
26 |
26 |
$42.80 |
| 82947 |
|
221 |
184 |
$32.54 |
| 90461 |
|
521 |
490 |
$29.00 |
| 36415 |
Collection of venous blood by venipuncture |
322 |
273 |
$27.80 |
| 90686 |
|
428 |
425 |
$18.10 |
| 99173 |
|
4,918 |
4,250 |
$17.68 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
60 |
50 |
$17.13 |
| 36416 |
|
8,106 |
6,826 |
$15.00 |
| 90620 |
|
12 |
12 |
$10.00 |
| 90734 |
|
174 |
170 |
$10.00 |
| 90700 |
|
12 |
12 |
$10.00 |
| 90707 |
|
39 |
39 |
$10.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
6,877 |
5,839 |
$0.03 |
| 90715 |
|
39 |
38 |
$0.03 |
| 1111F |
|
1,339 |
1,092 |
$0.00 |
| 83615 |
|
136 |
123 |
$0.00 |
| 82550 |
|
136 |
123 |
$0.00 |
| 92551 |
|
989 |
977 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
99 |
89 |
$0.00 |
| 93000 |
|
147 |
135 |
$0.00 |
| 84132 |
|
116 |
98 |
$0.00 |
| 86800 |
|
85 |
77 |
$0.00 |
| 90677 |
|
164 |
153 |
$0.00 |
| 82746 |
|
80 |
69 |
$0.00 |
| 86376 |
|
71 |
65 |
$0.00 |
| 82040 |
|
114 |
96 |
$0.00 |
| 84075 |
|
112 |
95 |
$0.00 |
| 82435 |
|
116 |
98 |
$0.00 |
| 90696 |
|
73 |
72 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
22 |
14 |
$0.00 |
| 99000 |
|
28 |
28 |
$0.00 |
| 82248 |
|
122 |
104 |
$0.00 |
| 82310 |
|
117 |
98 |
$0.00 |
| 90681 |
|
678 |
622 |
$0.00 |
| 84520 |
|
116 |
98 |
$0.00 |
| 84460 |
|
113 |
95 |
$0.00 |
| 82247 |
|
114 |
96 |
$0.00 |
| 84155 |
|
114 |
96 |
$0.00 |
| 84439 |
|
69 |
61 |
$0.00 |
| 84295 |
|
116 |
98 |
$0.00 |
| 82565 |
|
116 |
98 |
$0.00 |
| 99401 |
|
12 |
12 |
$0.00 |
| 84550 |
|
27 |
24 |
$0.00 |
| 99499 |
|
39 |
26 |
$0.00 |
| 99497 |
|
17 |
12 |
$0.00 |