| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,565 |
8,392 |
$488K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,289 |
5,725 |
$418K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,424 |
4,044 |
$352K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,403 |
4,108 |
$215K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,191 |
1,130 |
$86K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,175 |
1,054 |
$74K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
947 |
894 |
$67K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
501 |
455 |
$61K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
654 |
609 |
$50K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
494 |
461 |
$49K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,983 |
1,862 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,179 |
2,980 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
429 |
405 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
828 |
769 |
$12K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
338 |
312 |
$10K |
| 92551 |
|
1,076 |
980 |
$9K |
| 90670 |
|
735 |
681 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
87 |
85 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
58 |
54 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
935 |
826 |
$4K |
| 90715 |
|
179 |
168 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
699 |
571 |
$3K |
| 99383 |
|
54 |
53 |
$3K |
| 90686 |
|
452 |
434 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
459 |
403 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
219 |
171 |
$2K |
| 99384 |
|
32 |
32 |
$2K |
| 90474 |
|
211 |
202 |
$2K |
| 90653 |
|
98 |
96 |
$1K |
| 90651 |
|
57 |
53 |
$1K |
| 90746 |
|
15 |
15 |
$1K |
| 99173 |
|
391 |
360 |
$943.55 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
74 |
63 |
$546.75 |
| 90461 |
|
44 |
39 |
$517.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$363.53 |
| 90656 |
|
56 |
55 |
$348.57 |
| 90723 |
|
226 |
210 |
$89.59 |
| 90734 |
|
158 |
150 |
$77.78 |
| 90648 |
|
658 |
615 |
$48.00 |
| 90633 |
|
279 |
262 |
$26.09 |
| 90473 |
|
14 |
12 |
$11.05 |
| 90680 |
|
398 |
374 |
$0.00 |
| 90696 |
|
16 |
15 |
$0.00 |
| 90671 |
|
180 |
178 |
$0.00 |
| 90710 |
|
155 |
147 |
$0.00 |
| 90700 |
|
27 |
26 |
$0.00 |