| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,459 |
1,393 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
792 |
768 |
$44K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
877 |
851 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
548 |
532 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,502 |
1,462 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
263 |
253 |
$10K |
| 99460 |
|
208 |
204 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
247 |
237 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
148 |
143 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
207 |
92 |
$6K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
95 |
40 |
$5K |
| 90474 |
|
221 |
214 |
$4K |
| 99477 |
|
31 |
29 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
79 |
67 |
$4K |
| 54150 |
|
41 |
38 |
$4K |
| 92551 |
|
225 |
220 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
114 |
111 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
84 |
81 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
28 |
25 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
43 |
41 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
43 |
41 |
$1K |
| 96127 |
|
472 |
411 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
40 |
$1K |
| 93320 |
|
28 |
28 |
$1K |
| 99173 |
|
206 |
202 |
$1K |
| 93000 |
|
34 |
33 |
$787.52 |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
16 |
16 |
$727.36 |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$726.20 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
37 |
26 |
$723.08 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
57 |
52 |
$541.20 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$417.45 |
| 99381 |
|
14 |
13 |
$409.60 |
| 93304 |
|
15 |
14 |
$328.02 |
| 93325 |
|
56 |
52 |
$196.54 |
| 99462 |
|
18 |
18 |
$176.88 |
| 90670 |
|
610 |
592 |
$153.83 |
| 85027 |
|
13 |
12 |
$81.90 |
| 93321 |
|
16 |
15 |
$76.26 |
| 90647 |
|
401 |
387 |
$46.49 |
| 90723 |
|
404 |
391 |
$0.03 |
| 90681 |
|
221 |
213 |
$0.01 |
| 90685 |
|
111 |
106 |
$0.00 |
| 90649 |
|
13 |
12 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |
| 99024 |
|
696 |
595 |
$0.00 |
| 96161 |
|
380 |
363 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
73 |
71 |
$0.00 |
| 90686 |
|
170 |
163 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |