| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,637 |
12,987 |
$1.52M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,427 |
7,198 |
$286K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,220 |
1,188 |
$191K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,185 |
1,176 |
$179K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,005 |
1,001 |
$145K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,012 |
1,914 |
$121K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
597 |
573 |
$85K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
431 |
431 |
$71K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,172 |
1,150 |
$48K |
| 90461 |
|
1,070 |
986 |
$32K |
| 90686 |
|
1,328 |
1,159 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
242 |
238 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
119 |
115 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
248 |
247 |
$4K |
| 90656 |
|
264 |
262 |
$3K |
| 90685 |
|
1,010 |
744 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
61 |
60 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
56 |
28 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
754 |
351 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
28 |
$1K |
| 90670 |
|
146 |
96 |
$895.62 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$546.76 |
| 99173 |
|
124 |
119 |
$512.79 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
14 |
$494.77 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$436.42 |
| 96127 |
|
39 |
39 |
$421.68 |
| 90723 |
|
12 |
12 |
$222.10 |
| 90633 |
|
38 |
26 |
$73.32 |
| 3008F |
|
43 |
41 |
$30.00 |
| 90658 |
|
22 |
21 |
$28.82 |
| 90647 |
|
41 |
24 |
$26.23 |
| 90660 |
|
12 |
12 |
$25.69 |
| 90677 |
|
19 |
16 |
$7.00 |
| 99072 |
|
198 |
196 |
$0.00 |
| 1159F |
|
67 |
66 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
25 |
25 |
$0.00 |
| 1160F |
|
67 |
66 |
$0.00 |
| 90672 |
|
18 |
12 |
$0.00 |