| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,705 |
31,966 |
$2.07M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,186 |
6,509 |
$613K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,089 |
6,057 |
$531K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,909 |
5,772 |
$513K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,866 |
4,267 |
$383K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
10,635 |
8,393 |
$185K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19,262 |
14,961 |
$152K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,639 |
1,346 |
$125K |
| 92551 |
|
7,017 |
5,999 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,318 |
1,103 |
$48K |
| 81002 |
|
9,039 |
7,785 |
$26K |
| 99381 |
|
244 |
218 |
$20K |
| 90461 |
|
834 |
746 |
$19K |
| 90670 |
|
4,423 |
3,798 |
$17K |
| 99173 |
|
8,602 |
7,401 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
731 |
672 |
$10K |
| 36416 |
|
1,546 |
1,369 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
132 |
120 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
33 |
28 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
84 |
74 |
$4K |
| 90686 |
|
6,458 |
5,100 |
$3K |
| 90723 |
|
3,395 |
2,954 |
$3K |
| 96127 |
|
619 |
498 |
$2K |
| 90716 |
|
1,527 |
1,352 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
249 |
227 |
$1K |
| 90707 |
|
1,530 |
1,359 |
$1K |
| 90647 |
|
3,385 |
2,925 |
$985.58 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
20 |
14 |
$970.44 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$853.01 |
| 90474 |
|
272 |
130 |
$653.25 |
| 90677 |
|
454 |
384 |
$603.92 |
| 90734 |
|
290 |
249 |
$521.74 |
| 87276 |
|
29 |
27 |
$358.60 |
| 87275 |
|
29 |
27 |
$298.99 |
| 90681 |
|
1,650 |
1,439 |
$246.30 |
| 90651 |
|
333 |
286 |
$190.00 |
| 90715 |
|
145 |
128 |
$159.95 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$112.00 |
| 90633 |
|
1,855 |
1,659 |
$100.98 |
| 90656 |
|
187 |
183 |
$98.43 |
| 90700 |
|
285 |
251 |
$22.89 |
| 90696 |
|
85 |
77 |
$0.00 |
| 90657 |
|
55 |
54 |
$0.00 |
| 90658 |
|
198 |
195 |
$0.00 |