| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,276 |
24,609 |
$1.29M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,981 |
3,854 |
$242K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,615 |
2,599 |
$92K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
956 |
949 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
581 |
579 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
631 |
569 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
330 |
328 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
177 |
175 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
201 |
200 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
391 |
388 |
$13K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
39 |
39 |
$8K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
276 |
276 |
$3K |
| 90461 |
|
38 |
38 |
$3K |
| 99406 |
|
660 |
621 |
$2K |
| 80053 |
Comprehensive metabolic panel |
132 |
120 |
$2K |
| 99215 |
Prolong outpt/office vis |
29 |
28 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
37 |
$2K |
| 00731 |
|
12 |
12 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
156 |
69 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
30 |
$2K |
| 59025 |
Fetal non-stress test |
37 |
28 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
72 |
72 |
$742.55 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
24 |
14 |
$630.94 |
| 99459 |
|
31 |
31 |
$594.78 |
| 64615 |
|
13 |
13 |
$566.23 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25 |
25 |
$459.38 |
| 99221 |
|
12 |
12 |
$431.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$407.03 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$100.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
38 |
38 |
$96.62 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
37 |
37 |
$50.00 |
| 96160 |
|
127 |
127 |
$22.66 |
| 94760 |
|
176 |
154 |
$1.54 |
| M1069 |
Patient screened for future fall risk |
273 |
252 |
$0.00 |
| 90686 |
|
56 |
56 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
87 |
80 |
$0.00 |