| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,534 |
37,138 |
$2.95M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,508 |
20,842 |
$2.19M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,029 |
8,931 |
$890K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,615 |
8,363 |
$797K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,493 |
6,445 |
$631K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
3,706 |
3,673 |
$474K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
6,153 |
6,089 |
$315K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,309 |
667 |
$255K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,634 |
1,619 |
$174K |
| 90686 |
|
7,766 |
7,690 |
$120K |
| 99215 |
Prolong outpt/office vis |
581 |
550 |
$90K |
| 90698 |
|
4,994 |
4,924 |
$70K |
| 90670 |
|
4,660 |
4,595 |
$63K |
| 96127 |
|
12,820 |
12,094 |
$58K |
| 90688 |
|
5,214 |
5,155 |
$55K |
| 99243 |
|
589 |
582 |
$51K |
| 95117 |
|
5,648 |
3,255 |
$38K |
| 90680 |
|
2,283 |
2,253 |
$31K |
| 99177 |
|
4,688 |
4,600 |
$30K |
| 92551 |
|
3,863 |
3,824 |
$28K |
| 94010 |
|
1,200 |
1,180 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,135 |
1,852 |
$20K |
| 99499 |
|
781 |
765 |
$20K |
| 90671 |
|
1,190 |
1,177 |
$18K |
| 90480 |
|
458 |
454 |
$16K |
| 90744 |
|
1,152 |
1,128 |
$16K |
| 90633 |
|
1,113 |
1,094 |
$15K |
| 92552 |
|
348 |
346 |
$7K |
| 0071A |
|
162 |
161 |
$7K |
| 90651 |
|
530 |
521 |
$6K |
| 96161 |
|
3,225 |
3,133 |
$6K |
| 99173 |
|
3,295 |
3,269 |
$6K |
| 90697 |
|
405 |
399 |
$5K |
| 95115 |
|
781 |
391 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
43 |
$4K |
| 0072A |
|
94 |
94 |
$4K |
| 90656 |
|
920 |
916 |
$4K |
| 0001A |
|
84 |
82 |
$3K |
| 0002A |
|
68 |
68 |
$3K |
| 90734 |
|
229 |
226 |
$3K |
| 99245 |
|
14 |
14 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
49 |
$2K |
| 0124A |
|
42 |
42 |
$2K |
| 96160 |
|
575 |
571 |
$2K |
| 99381 |
|
16 |
15 |
$2K |
| 99382 |
|
16 |
13 |
$1K |
| 99188 |
|
96 |
91 |
$1K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
19 |
17 |
$1K |
| D1206 |
Topical application of fluoride varnish |
51 |
49 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
65 |
65 |
$1K |
| 95024 |
|
38 |
37 |
$973.45 |
| 90715 |
|
66 |
66 |
$809.36 |
| 90674 |
|
40 |
40 |
$767.91 |
| 90696 |
|
49 |
49 |
$739.69 |
| 0081A |
|
16 |
16 |
$670.00 |
| 0082A |
|
16 |
16 |
$670.00 |
| 90707 |
|
44 |
43 |
$622.27 |
| 94375 |
|
26 |
26 |
$599.50 |
| 90716 |
|
43 |
42 |
$585.51 |
| 0173A |
|
12 |
12 |
$502.00 |
| 0073A |
|
12 |
12 |
$474.90 |
| 90710 |
|
27 |
27 |
$419.07 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$339.57 |
| 96380 |
|
16 |
15 |
$223.72 |
| 95012 |
|
13 |
13 |
$143.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$125.24 |
| 81002 |
|
28 |
27 |
$96.16 |
| 99174 |
|
28 |
27 |
$87.09 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$74.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$16.47 |
| 94760 |
|
15 |
15 |
$9.07 |
| 1111F |
|
14 |
12 |
$0.00 |
| 99072 |
|
2,543 |
2,427 |
$0.00 |
| 1159F |
|
2,529 |
2,423 |
$0.00 |
| 1160F |
|
1,497 |
1,441 |
$0.00 |