| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,492 |
5,135 |
$350K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,200 |
2,081 |
$203K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,647 |
2,593 |
$145K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,171 |
1,157 |
$111K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,140 |
1,118 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
734 |
718 |
$70K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
512 |
494 |
$51K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,676 |
2,606 |
$42K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,060 |
987 |
$19K |
| 92551 |
|
1,418 |
1,378 |
$15K |
| 99177 |
|
655 |
651 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
465 |
449 |
$7K |
| 99173 |
|
720 |
694 |
$5K |
| 96127 |
|
343 |
278 |
$5K |
| 90651 |
|
117 |
111 |
$3K |
| 90670 |
|
790 |
781 |
$2K |
| 99381 |
|
30 |
25 |
$2K |
| 0072A |
|
24 |
24 |
$1K |
| 83655 |
|
119 |
118 |
$1K |
| 90686 |
|
1,239 |
1,146 |
$1K |
| 90480 |
|
15 |
15 |
$926.55 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
82 |
80 |
$924.16 |
| 85018 |
|
336 |
331 |
$773.24 |
| 90619 |
|
49 |
45 |
$748.72 |
| 90461 |
|
1,682 |
1,663 |
$671.31 |
| 90716 |
|
161 |
160 |
$553.88 |
| 90698 |
|
470 |
464 |
$498.24 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$348.84 |
| 90707 |
|
171 |
170 |
$316.05 |
| 90656 |
|
155 |
151 |
$264.84 |
| 90633 |
|
279 |
276 |
$260.52 |
| 36415 |
Collection of venous blood by venipuncture |
98 |
94 |
$252.10 |
| 94760 |
|
74 |
68 |
$154.90 |
| 90680 |
|
348 |
345 |
$124.92 |
| 99000 |
|
1,632 |
1,521 |
$114.76 |
| 81003 |
|
63 |
55 |
$112.50 |
| 36416 |
|
1,167 |
1,124 |
$42.94 |
| 90744 |
|
135 |
134 |
$29.70 |
| 91307 |
|
81 |
80 |
$0.00 |
| 90688 |
|
345 |
342 |
$0.00 |
| 90677 |
|
37 |
37 |
$0.00 |
| 91305 |
|
14 |
14 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 91308 |
|
12 |
12 |
$0.00 |
| 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) |
489 |
461 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90700 |
|
25 |
25 |
$0.00 |