| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,662 |
10,826 |
$680K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,706 |
3,382 |
$339K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,103 |
3,016 |
$311K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,827 |
3,531 |
$298K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,149 |
2,084 |
$202K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,363 |
7,060 |
$196K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,414 |
1,376 |
$152K |
| 90461 |
|
2,916 |
2,801 |
$44K |
| 99460 |
|
163 |
148 |
$13K |
| 99383 |
|
41 |
41 |
$5K |
| 90670 |
|
1,864 |
1,804 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,635 |
1,560 |
$4K |
| 90686 |
|
966 |
925 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
142 |
130 |
$3K |
| 99381 |
|
38 |
31 |
$3K |
| 99384 |
|
13 |
13 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
278 |
268 |
$2K |
| 0072A |
|
39 |
36 |
$1K |
| 0071A |
|
33 |
33 |
$959.88 |
| 99441 |
|
882 |
766 |
$728.69 |
| 90698 |
|
1,399 |
1,364 |
$537.52 |
| 90651 |
|
348 |
341 |
$489.65 |
| 90633 |
|
1,011 |
966 |
$239.04 |
| 92587 |
|
32 |
17 |
$231.85 |
| 90744 |
|
994 |
937 |
$212.02 |
| 90658 |
|
116 |
113 |
$176.70 |
| 90716 |
|
205 |
192 |
$122.77 |
| 90680 |
|
1,198 |
1,166 |
$92.00 |
| 90685 |
|
14 |
12 |
$84.50 |
| 90648 |
|
245 |
227 |
$80.00 |
| 90734 |
|
158 |
158 |
$79.00 |
| 92552 |
|
22 |
22 |
$46.50 |
| 90715 |
|
61 |
61 |
$23.00 |
| 90696 |
|
108 |
103 |
$20.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
21 |
$10.00 |
| 90710 |
|
122 |
115 |
$10.00 |
| 90655 |
|
23 |
15 |
$10.00 |
| 36416 |
|
173 |
144 |
$0.00 |
| 90619 |
|
25 |
25 |
$0.00 |
| 99058 |
|
228 |
169 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
157 |
139 |
$0.00 |
| 90677 |
|
13 |
12 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$0.00 |
| 90700 |
|
172 |
168 |
$0.00 |
| 90707 |
|
105 |
97 |
$0.00 |