| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,295 |
4,001 |
$551K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,976 |
1,909 |
$218K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,151 |
1,143 |
$132K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
913 |
888 |
$115K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
827 |
824 |
$96K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
781 |
765 |
$88K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,277 |
2,247 |
$77K |
| 99215 |
Prolong outpt/office vis |
330 |
290 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
310 |
307 |
$36K |
| 99173 |
|
1,870 |
1,836 |
$11K |
| 90832 |
Psychotherapy, 30 minutes with patient |
35 |
29 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
112 |
108 |
$5K |
| 92551 |
|
991 |
962 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
313 |
312 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
25 |
$3K |
| 90671 |
|
376 |
374 |
$3K |
| 90651 |
|
310 |
303 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
243 |
240 |
$2K |
| 81025 |
|
946 |
886 |
$2K |
| 99381 |
|
12 |
12 |
$2K |
| 81002 |
|
1,532 |
1,372 |
$1K |
| 96127 |
|
324 |
316 |
$583.45 |
| 85018 |
|
547 |
544 |
$429.16 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
57 |
57 |
$423.75 |
| 90715 |
|
82 |
80 |
$294.90 |
| 90686 |
|
190 |
187 |
$165.27 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34 |
31 |
$107.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$80.62 |
| 82962 |
|
27 |
27 |
$35.28 |
| 3078F |
|
162 |
156 |
$0.50 |
| 3074F |
|
28 |
28 |
$0.02 |
| 2010F |
|
978 |
967 |
$0.00 |
| 2001F |
|
377 |
375 |
$0.00 |
| 90620 |
|
15 |
14 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,432 |
1,404 |
$0.00 |
| 90723 |
|
557 |
555 |
$0.00 |
| 36416 |
|
123 |
123 |
$0.00 |
| 3008F |
|
1,993 |
1,923 |
$0.00 |
| 90696 |
|
96 |
93 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
123 |
123 |
$0.00 |
| 83655 |
|
179 |
178 |
$0.00 |
| 90633 |
|
404 |
391 |
$0.00 |
| 90700 |
|
51 |
51 |
$0.00 |
| 90710 |
|
361 |
353 |
$0.00 |
| 90648 |
|
709 |
707 |
$0.00 |
| 90670 |
|
357 |
357 |
$0.00 |
| 90734 |
|
78 |
74 |
$0.00 |
| 90681 |
|
117 |
117 |
$0.00 |
| 96160 |
|
203 |
196 |
$0.00 |
| 3725F |
|
18 |
16 |
$0.00 |