| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,599 |
17,703 |
$1.33M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,958 |
3,912 |
$421K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,412 |
3,409 |
$333K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,852 |
2,848 |
$282K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,569 |
2,442 |
$236K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,712 |
1,712 |
$185K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
910 |
910 |
$101K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
572 |
572 |
$67K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,418 |
8,374 |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,439 |
1,416 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
549 |
549 |
$52K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,747 |
4,734 |
$49K |
| 99460 |
|
208 |
207 |
$19K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
257 |
257 |
$18K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
191 |
190 |
$13K |
| 90686 |
|
2,226 |
2,226 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
585 |
340 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,587 |
1,567 |
$9K |
| 99442 |
|
116 |
115 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
140 |
139 |
$5K |
| 90473 |
|
777 |
776 |
$5K |
| 99385 |
|
39 |
39 |
$5K |
| 99441 |
|
182 |
181 |
$4K |
| H0049 |
Alcohol and/or drug screening |
174 |
174 |
$4K |
| 99443 |
|
44 |
43 |
$3K |
| 90715 |
|
292 |
291 |
$2K |
| 92551 |
|
243 |
243 |
$1K |
| 99406 |
|
52 |
52 |
$549.82 |
| 90651 |
|
367 |
366 |
$381.92 |
| 90670 |
|
1,259 |
1,256 |
$344.00 |
| 99173 |
|
622 |
621 |
$272.37 |
| 90710 |
|
270 |
270 |
$184.77 |
| 96127 |
|
29 |
29 |
$124.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$111.34 |
| 90734 |
|
513 |
513 |
$101.89 |
| 99051 |
|
79 |
78 |
$100.00 |
| 90633 |
|
614 |
612 |
$71.16 |
| 81003 |
|
30 |
29 |
$58.86 |
| 90698 |
|
670 |
668 |
$0.20 |
| 90680 |
|
539 |
538 |
$0.15 |
| 90696 |
|
83 |
83 |
$0.13 |
| 90744 |
|
310 |
310 |
$0.03 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90648 |
|
25 |
25 |
$0.00 |
| 90685 |
|
261 |
261 |
$0.00 |
| 90700 |
|
28 |
28 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
105 |
103 |
$0.00 |
| 90621 |
|
29 |
29 |
$0.00 |