| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,830 |
18,365 |
$901K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,131 |
8,389 |
$534K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,131 |
14,481 |
$333K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,974 |
4,905 |
$298K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,516 |
4,454 |
$270K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,090 |
5,828 |
$219K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,821 |
2,715 |
$163K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
5,745 |
5,728 |
$160K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,551 |
8,431 |
$143K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,990 |
1,968 |
$127K |
| 90671 |
|
443 |
409 |
$67K |
| 90461 |
|
4,439 |
4,321 |
$63K |
| 92551 |
|
4,846 |
4,644 |
$51K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,259 |
3,221 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,158 |
4,027 |
$44K |
| 92553 |
|
2,618 |
2,617 |
$41K |
| 99188 |
|
1,648 |
1,628 |
$33K |
| 90651 |
|
571 |
546 |
$32K |
| 90686 |
|
3,625 |
3,517 |
$22K |
| 3008F |
|
20,789 |
18,727 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,104 |
1,092 |
$15K |
| 90670 |
|
491 |
487 |
$13K |
| 0001A |
|
329 |
327 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,018 |
416 |
$9K |
| 0002A |
|
222 |
222 |
$9K |
| 99173 |
|
6,384 |
6,237 |
$8K |
| 90734 |
|
272 |
269 |
$8K |
| 92587 |
|
502 |
499 |
$8K |
| 99402 |
|
265 |
258 |
$7K |
| 96127 |
|
2,805 |
2,765 |
$7K |
| 0072A |
|
157 |
157 |
$6K |
| 36406 |
|
419 |
416 |
$6K |
| 90716 |
|
392 |
369 |
$6K |
| 0071A |
|
122 |
121 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
52 |
24 |
$4K |
| 83655 |
|
464 |
431 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,236 |
2,225 |
$3K |
| 90685 |
|
628 |
617 |
$3K |
| 90656 |
|
858 |
829 |
$3K |
| 90707 |
|
298 |
280 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
871 |
860 |
$2K |
| 92552 |
|
176 |
175 |
$2K |
| 99496 |
|
13 |
12 |
$2K |
| 90620 |
|
17 |
16 |
$2K |
| 99381 |
|
27 |
27 |
$1K |
| 90700 |
|
935 |
905 |
$1K |
| 90715 |
|
133 |
132 |
$1K |
| 99383 |
|
13 |
13 |
$937.90 |
| 90688 |
|
56 |
56 |
$930.37 |
| 97802 |
|
34 |
34 |
$881.98 |
| 90634 |
|
187 |
187 |
$847.19 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
102 |
102 |
$816.58 |
| 90473 |
|
285 |
285 |
$762.89 |
| 90713 |
|
661 |
630 |
$679.99 |
| 0081A |
|
16 |
15 |
$617.33 |
| 0074A |
|
16 |
15 |
$605.47 |
| 0003A |
|
15 |
15 |
$600.00 |
| 90474 |
|
99 |
99 |
$590.00 |
| 99177 |
|
79 |
76 |
$550.28 |
| 90681 |
|
123 |
121 |
$392.08 |
| 36416 |
|
74 |
58 |
$343.56 |
| 90674 |
|
16 |
16 |
$331.10 |
| 86580 |
|
68 |
68 |
$289.12 |
| 90647 |
|
215 |
213 |
$263.32 |
| 90661 |
|
74 |
71 |
$214.05 |
| 94664 |
|
17 |
17 |
$165.68 |
| 90648 |
|
119 |
117 |
$133.14 |
| 90744 |
|
170 |
155 |
$114.38 |
| 99441 |
|
15 |
15 |
$88.10 |
| 99000 |
|
516 |
495 |
$87.28 |
| 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) |
29 |
27 |
$71.36 |
| 91307 |
|
633 |
610 |
$55.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
57 |
56 |
$25.32 |
| 96160 |
|
28 |
28 |
$16.98 |
| 91300 |
|
328 |
284 |
$0.00 |
| 91308 |
|
61 |
55 |
$0.00 |
| 99051 |
|
52 |
44 |
$0.00 |
| 91312 |
|
13 |
13 |
$0.00 |
| 99070 |
|
195 |
193 |
$0.00 |
| 91305 |
|
17 |
17 |
$0.00 |