| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,952 |
25,051 |
$1.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,054 |
11,591 |
$699K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,380 |
10,000 |
$409K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,371 |
5,717 |
$337K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,407 |
4,019 |
$264K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
500 |
477 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,276 |
2,952 |
$26K |
| 99460 |
|
238 |
218 |
$20K |
| 96127 |
|
3,845 |
3,612 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
333 |
305 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,147 |
1,012 |
$13K |
| 99215 |
Prolong outpt/office vis |
151 |
126 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
494 |
480 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
104 |
92 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
208 |
182 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
352 |
301 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
364 |
134 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
142 |
112 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
293 |
116 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
54 |
$4K |
| 99188 |
|
177 |
149 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
153 |
132 |
$4K |
| 90698 |
|
2,697 |
2,431 |
$3K |
| 96161 |
|
1,284 |
1,144 |
$3K |
| 90670 |
|
2,066 |
1,898 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
54 |
49 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
93 |
68 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
26 |
$2K |
| D1206 |
Topical application of fluoride varnish |
81 |
81 |
$1K |
| 99220 |
|
39 |
38 |
$1K |
| 90686 |
|
2,002 |
1,902 |
$932.20 |
| 90680 |
|
742 |
672 |
$650.00 |
| 90633 |
|
66 |
60 |
$559.96 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
39 |
38 |
$432.23 |
| 99219 |
|
14 |
13 |
$424.01 |
| 92551 |
|
66 |
64 |
$411.51 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$139.84 |
| 80305 |
|
20 |
17 |
$138.25 |
| 87807 |
|
12 |
12 |
$120.84 |
| 90744 |
|
158 |
136 |
$60.00 |
| 90656 |
|
177 |
171 |
$23.09 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
27 |
26 |
$4.27 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
117 |
109 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
13 |
$0.00 |
| 90677 |
|
307 |
265 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
39 |
37 |
$0.00 |
| 1036F |
|
26 |
25 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
14 |
13 |
$0.00 |