| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,009 |
18,501 |
$4.58M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,233 |
8,707 |
$1.91M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,003 |
890 |
$163K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
352 |
324 |
$54K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
279 |
267 |
$34K |
| X5622 |
|
281 |
220 |
$25K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
101 |
71 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
187 |
170 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
148 |
110 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
122 |
94 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
214 |
169 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
8,289 |
6,636 |
$1K |
| 99188 |
|
23 |
12 |
$781.37 |
| 90686 |
|
1,530 |
1,340 |
$764.77 |
| 90670 |
|
49 |
38 |
$434.70 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
102 |
102 |
$336.23 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,208 |
3,487 |
$211.55 |
| 92551 |
|
1,244 |
1,100 |
$8.55 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
81 |
61 |
$7.68 |
| 99173 |
|
1,063 |
965 |
$2.01 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
101 |
83 |
$0.00 |
| 96127 |
|
1,908 |
1,363 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
371 |
361 |
$0.00 |
| 90651 |
|
41 |
37 |
$0.00 |
| 0001A |
|
55 |
55 |
$0.00 |
| 90656 |
|
18 |
14 |
$0.00 |
| 90723 |
|
25 |
14 |
$0.00 |
| 85018 |
|
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,325 |
1,132 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,629 |
1,425 |
$0.00 |
| 90734 |
|
58 |
58 |
$0.00 |
| 0002A |
|
88 |
88 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$0.00 |
| 90633 |
|
40 |
39 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 90715 |
|
20 |
19 |
$0.00 |