| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,149 |
20,960 |
$838K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,444 |
6,655 |
$380K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,809 |
1,360 |
$102K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,006 |
725 |
$98K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,240 |
2,136 |
$93K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,527 |
1,481 |
$71K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
4,239 |
3,927 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,532 |
1,349 |
$62K |
| X5622 |
|
1,819 |
1,719 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,115 |
1,059 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
804 |
763 |
$39K |
| 99215 |
Prolong outpt/office vis |
321 |
286 |
$29K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
340 |
337 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
329 |
316 |
$20K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
195 |
179 |
$19K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
544 |
520 |
$15K |
| 99188 |
|
1,723 |
1,698 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
911 |
863 |
$11K |
| 92551 |
|
1,956 |
1,905 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
186 |
184 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
458 |
403 |
$10K |
| 90834 |
Psychotherapy, 45 minutes with patient |
78 |
63 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
42 |
41 |
$5K |
| 99205 |
Prolong outpt/office vis |
39 |
38 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
358 |
335 |
$3K |
| 99173 |
|
1,728 |
1,688 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
297 |
284 |
$2K |
| 90686 |
|
731 |
711 |
$2K |
| 99417 |
Prolong home eval add 15m |
40 |
37 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
647 |
571 |
$1K |
| 99383 |
|
13 |
13 |
$803.01 |
| 90461 |
|
1,176 |
1,133 |
$785.31 |
| 90670 |
|
806 |
788 |
$464.42 |
| 96127 |
|
16 |
16 |
$60.75 |
| 90715 |
|
32 |
30 |
$33.50 |
| 90685 |
|
46 |
43 |
$22.25 |
| 90680 |
|
316 |
302 |
$0.00 |
| 90698 |
|
782 |
753 |
$0.00 |
| 90651 |
|
78 |
73 |
$0.00 |
| 99174 |
|
105 |
99 |
$0.00 |
| 90744 |
|
88 |
83 |
$0.00 |
| 90688 |
|
77 |
77 |
$0.00 |
| 90696 |
|
26 |
26 |
$0.00 |
| 90697 |
|
13 |
12 |
$0.00 |
| 90633 |
|
382 |
361 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$0.00 |
| 99307 |
|
88 |
86 |
$0.00 |
| 90710 |
|
44 |
44 |
$0.00 |
| 90734 |
|
88 |
79 |
$0.00 |