| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,921 |
13,530 |
$953K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,735 |
9,568 |
$697K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,434 |
8,409 |
$692K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,829 |
5,551 |
$534K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,687 |
17,551 |
$403K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,329 |
4,317 |
$351K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,015 |
2,012 |
$179K |
| 99460 |
|
3,037 |
3,027 |
$166K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,745 |
3,697 |
$160K |
| 99381 |
|
925 |
924 |
$77K |
| 99464 |
|
1,343 |
1,340 |
$57K |
| 99462 |
|
1,678 |
1,358 |
$41K |
| 83655 |
|
3,415 |
3,378 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,647 |
2,589 |
$35K |
| 87428 |
|
845 |
834 |
$34K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
882 |
880 |
$27K |
| 99215 |
Prolong outpt/office vis |
166 |
163 |
$23K |
| 99383 |
|
196 |
196 |
$19K |
| 90671 |
|
448 |
448 |
$18K |
| 81003 |
|
6,182 |
6,036 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
3,779 |
3,719 |
$11K |
| 36416 |
|
4,443 |
4,254 |
$9K |
| 85018 |
|
3,839 |
3,796 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
543 |
527 |
$7K |
| D0190 |
|
379 |
376 |
$6K |
| 90473 |
|
202 |
202 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
253 |
252 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
44 |
24 |
$3K |
| 99463 |
|
37 |
37 |
$2K |
| 0071A |
|
51 |
51 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
43 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
190 |
189 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
15 |
15 |
$2K |
| 99384 |
|
13 |
13 |
$2K |
| 0072A |
|
39 |
39 |
$2K |
| 90716 |
|
1,360 |
1,349 |
$2K |
| 99382 |
|
14 |
14 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
15 |
$1K |
| 99188 |
|
166 |
164 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$958.83 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$892.51 |
| 92551 |
|
110 |
108 |
$791.13 |
| 90620 |
|
108 |
108 |
$747.92 |
| 90685 |
|
468 |
465 |
$479.82 |
| 90670 |
|
4,827 |
4,800 |
$445.51 |
| 69210 |
|
12 |
12 |
$312.53 |
| 90686 |
|
4,848 |
4,836 |
$225.83 |
| 87807 |
|
21 |
20 |
$182.64 |
| 90474 |
|
51 |
51 |
$152.76 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$113.33 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$63.06 |
| 86580 |
|
14 |
14 |
$58.76 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
46 |
44 |
$36.84 |
| 90744 |
|
3,164 |
3,138 |
$28.23 |
| 90656 |
|
302 |
301 |
$22.35 |
| 90715 |
|
370 |
366 |
$0.00 |
| 90648 |
|
1,188 |
1,184 |
$0.00 |
| 90707 |
|
1,344 |
1,330 |
$0.00 |
| 90461 |
|
3,816 |
3,795 |
$0.00 |
| 90633 |
|
3,078 |
3,057 |
$0.00 |
| 90710 |
|
992 |
988 |
$0.00 |
| 90734 |
|
801 |
795 |
$0.00 |
| 90700 |
|
1,260 |
1,255 |
$0.00 |
| 99173 |
|
255 |
255 |
$0.00 |
| 3078F |
|
943 |
869 |
$0.00 |
| 90672 |
|
47 |
47 |
$0.00 |
| 91308 |
|
15 |
13 |
$0.00 |
| 90698 |
|
4,589 |
4,560 |
$0.00 |
| 3074F |
|
987 |
908 |
$0.00 |
| 90680 |
|
3,965 |
3,943 |
$0.00 |
| 90696 |
|
933 |
930 |
$0.00 |
| 90651 |
|
851 |
847 |
$0.00 |
| 94760 |
|
95 |
86 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
270 |
252 |
$0.00 |
| 90660 |
|
13 |
13 |
$0.00 |
| 90647 |
|
67 |
67 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$0.00 |
| 3079F |
|
15 |
14 |
$0.00 |
| 90723 |
|
39 |
39 |
$0.00 |