| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,671 |
11,114 |
$399K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,890 |
3,861 |
$269K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,832 |
3,743 |
$264K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,929 |
6,844 |
$241K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,567 |
12,397 |
$233K |
| 90378 |
|
113 |
66 |
$228K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,206 |
4,069 |
$220K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,491 |
2,475 |
$175K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,317 |
2,236 |
$121K |
| 99460 |
|
1,297 |
1,255 |
$90K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
616 |
611 |
$43K |
| 54150 |
|
160 |
155 |
$26K |
| 99215 |
Prolong outpt/office vis |
299 |
286 |
$26K |
| 90474 |
|
1,338 |
1,323 |
$25K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
581 |
317 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
519 |
514 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
160 |
158 |
$13K |
| 92551 |
|
1,000 |
995 |
$12K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
154 |
147 |
$10K |
| 99233 |
Prolong inpt eval add15 m |
85 |
46 |
$5K |
| 99462 |
|
242 |
191 |
$5K |
| 99173 |
|
949 |
943 |
$4K |
| 99205 |
Prolong outpt/office vis |
45 |
44 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
81 |
79 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
95 |
92 |
$2K |
| 99381 |
|
24 |
24 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
19 |
12 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
167 |
163 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
30 |
$833.00 |
| 96127 |
|
76 |
68 |
$180.16 |
| 90686 |
|
5,635 |
5,565 |
$19.60 |
| 90698 |
|
1,724 |
1,706 |
$0.00 |
| 90680 |
|
1,371 |
1,357 |
$0.00 |
| 90744 |
|
637 |
635 |
$0.00 |
| 90651 |
|
101 |
100 |
$0.00 |
| 90670 |
|
2,869 |
2,828 |
$0.00 |
| 90710 |
|
231 |
227 |
$0.00 |
| 90633 |
|
462 |
459 |
$0.00 |
| 90734 |
|
37 |
37 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |