| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,429 |
5,743 |
$460K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,674 |
6,145 |
$346K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,020 |
1,965 |
$71K |
| 99460 |
|
690 |
655 |
$53K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,373 |
1,152 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
325 |
320 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
299 |
287 |
$28K |
| 99233 |
Prolong inpt eval add15 m |
337 |
183 |
$25K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
318 |
301 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,227 |
1,090 |
$20K |
| 99462 |
|
390 |
309 |
$12K |
| 54150 |
|
539 |
364 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
557 |
530 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
128 |
91 |
$7K |
| 92551 |
|
580 |
566 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
57 |
55 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
30 |
29 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
36 |
36 |
$3K |
| 87660 |
|
138 |
129 |
$3K |
| 90686 |
|
1,334 |
1,291 |
$3K |
| 87480 |
|
139 |
130 |
$3K |
| 87510 |
|
139 |
130 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
28 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
26 |
25 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
56 |
55 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
119 |
114 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$1K |
| 87797 |
|
52 |
52 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
40 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
317 |
279 |
$916.30 |
| 90670 |
|
27 |
25 |
$903.68 |
| 90698 |
|
15 |
14 |
$458.48 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
42 |
42 |
$449.68 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
14 |
13 |
$249.34 |
| 99050 |
|
24 |
24 |
$161.66 |