| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,353 |
5,295 |
$480K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,155 |
4,776 |
$384K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,406 |
4,321 |
$382K |
| J2357 |
Injection, omalizumab, 5 mg |
265 |
181 |
$295K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,257 |
5,017 |
$290K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,630 |
7,306 |
$276K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,417 |
2,375 |
$212K |
| 90686 |
|
4,411 |
4,366 |
$40K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,886 |
1,781 |
$38K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
2,581 |
2,470 |
$25K |
| 90670 |
|
2,604 |
2,577 |
$25K |
| 90723 |
|
2,552 |
2,517 |
$25K |
| 90647 |
|
2,406 |
2,373 |
$23K |
| 90680 |
|
1,942 |
1,917 |
$18K |
| 97802 |
|
246 |
244 |
$14K |
| 90633 |
|
1,344 |
1,338 |
$13K |
| 97803 |
|
281 |
272 |
$10K |
| 90677 |
|
1,023 |
1,008 |
$9K |
| 90651 |
|
725 |
722 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
238 |
230 |
$6K |
| 90656 |
|
617 |
615 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
194 |
156 |
$5K |
| 90734 |
|
407 |
405 |
$4K |
| 0071A |
|
95 |
95 |
$4K |
| 92551 |
|
6,698 |
6,619 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
232 |
229 |
$3K |
| 0072A |
|
68 |
68 |
$3K |
| 95117 |
|
396 |
248 |
$3K |
| 90707 |
|
234 |
233 |
$2K |
| 90648 |
|
220 |
220 |
$2K |
| 90700 |
|
212 |
212 |
$2K |
| 90716 |
|
213 |
213 |
$2K |
| 90696 |
|
176 |
176 |
$2K |
| 90710 |
|
172 |
172 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
168 |
159 |
$1K |
| 90681 |
|
124 |
124 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
14 |
$1K |
| 99177 |
|
3,752 |
3,695 |
$873.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
61 |
$701.50 |
| 90620 |
|
77 |
74 |
$677.00 |
| 96127 |
|
1,568 |
1,552 |
$662.76 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
18 |
$648.31 |
| 99381 |
|
12 |
12 |
$630.00 |
| 83655 |
|
2,372 |
2,366 |
$598.36 |
| 0083A |
|
14 |
14 |
$576.80 |
| 0081A |
|
13 |
13 |
$535.60 |
| 0082A |
|
12 |
12 |
$504.00 |
| 99173 |
|
1,371 |
1,362 |
$324.30 |
| 90715 |
|
84 |
83 |
$233.81 |
| 80061 |
Lipid panel |
927 |
920 |
$209.30 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$195.50 |
| 90621 |
|
14 |
14 |
$150.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,000 |
963 |
$144.72 |
| 90381 |
|
15 |
15 |
$144.20 |
| G0009 |
Administration of pneumococcal vaccine |
12 |
12 |
$138.00 |
| 85018 |
|
230 |
230 |
$74.20 |
| 96160 |
|
904 |
891 |
$45.04 |