| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,603 |
6,708 |
$343K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,237 |
2,450 |
$170K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,410 |
1,278 |
$84K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
396 |
301 |
$25K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
281 |
211 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
383 |
304 |
$11K |
| 3008F |
|
2,253 |
1,834 |
$10K |
| 99221 |
|
119 |
118 |
$7K |
| 90686 |
|
464 |
376 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
72 |
60 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
70 |
64 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
424 |
343 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,568 |
2,089 |
$3K |
| 99401 |
|
135 |
101 |
$3K |
| 90674 |
|
156 |
127 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
218 |
176 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
146 |
125 |
$2K |
| 99173 |
|
351 |
283 |
$1K |
| 99441 |
|
132 |
91 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$601.04 |
| 0011A |
|
14 |
13 |
$517.02 |
| 0012A |
|
13 |
13 |
$440.00 |
| 81007 |
|
102 |
84 |
$410.09 |
| 96127 |
|
68 |
53 |
$247.15 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
47 |
36 |
$220.69 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
28 |
$203.60 |
| 90685 |
|
40 |
36 |
$88.95 |
| 96160 |
|
21 |
19 |
$71.27 |
| 82947 |
|
19 |
13 |
$37.53 |
| 91301 |
|
36 |
35 |
$0.00 |
| 90649 |
|
64 |
53 |
$0.00 |
| 90734 |
|
35 |
26 |
$0.00 |