| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,979 |
32,933 |
$2.75M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,322 |
7,935 |
$807K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,448 |
7,013 |
$659K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,702 |
5,472 |
$551K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,198 |
3,800 |
$410K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,143 |
2,991 |
$336K |
| 94760 |
|
58,110 |
51,816 |
$171K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15,771 |
14,038 |
$142K |
| 90698 |
|
5,604 |
5,302 |
$101K |
| D1206 |
Topical application of fluoride varnish |
4,102 |
3,981 |
$95K |
| 90670 |
|
4,103 |
3,868 |
$74K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,125 |
959 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,346 |
1,273 |
$69K |
| 92551 |
|
6,091 |
5,784 |
$54K |
| 90686 |
|
2,917 |
2,687 |
$50K |
| 90680 |
|
2,160 |
2,069 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,086 |
2,838 |
$38K |
| 54150 |
|
522 |
495 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,118 |
2,771 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,616 |
1,094 |
$29K |
| 96127 |
|
6,626 |
6,030 |
$27K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,524 |
1,362 |
$23K |
| 90677 |
|
1,097 |
1,035 |
$23K |
| 90744 |
|
1,187 |
1,115 |
$21K |
| 90633 |
|
1,049 |
974 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,157 |
2,026 |
$15K |
| 87081 |
|
2,352 |
2,169 |
$13K |
| 90651 |
|
672 |
614 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
5,294 |
5,006 |
$12K |
| 87428 |
|
399 |
366 |
$11K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
335 |
324 |
$11K |
| 90619 |
|
537 |
477 |
$10K |
| 96161 |
|
3,752 |
3,521 |
$8K |
| 90656 |
|
414 |
412 |
$8K |
| 90734 |
|
452 |
418 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
66 |
66 |
$7K |
| 99051 |
|
715 |
643 |
$7K |
| 90715 |
|
385 |
339 |
$7K |
| 99173 |
|
2,790 |
2,674 |
$7K |
| 90710 |
|
298 |
257 |
$5K |
| 99381 |
|
61 |
56 |
$5K |
| 90696 |
|
251 |
211 |
$4K |
| 90620 |
|
170 |
157 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
65 |
56 |
$3K |
| 87807 |
|
196 |
189 |
$2K |
| 83655 |
|
217 |
206 |
$2K |
| 0072A |
|
47 |
41 |
$2K |
| 99174 |
|
289 |
273 |
$2K |
| 99000 |
|
9,931 |
9,244 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
128 |
120 |
$751.14 |
| 85027 |
|
125 |
121 |
$694.74 |
| 90474 |
|
91 |
82 |
$676.31 |
| 81001 |
|
160 |
152 |
$411.91 |
| 36416 |
|
2,955 |
2,564 |
$351.05 |
| 85007 |
|
114 |
110 |
$326.84 |
| 90716 |
|
38 |
38 |
$279.36 |
| 90688 |
|
12 |
12 |
$218.03 |
| 0071A |
|
15 |
14 |
$200.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
12 |
12 |
$78.72 |
| 85018 |
|
44 |
27 |
$65.24 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,027 |
1,001 |
$4.87 |
| 91300 |
|
81 |
72 |
$0.00 |
| 90707 |
|
18 |
18 |
$0.00 |
| 91307 |
|
151 |
130 |
$0.00 |