| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,480 |
5,814 |
$237K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,321 |
4,950 |
$140K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
965 |
873 |
$72K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
890 |
795 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
491 |
477 |
$40K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,425 |
1,273 |
$20K |
| 59426 |
|
650 |
317 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,452 |
2,135 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
151 |
148 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
844 |
396 |
$10K |
| 59425 |
|
512 |
396 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
535 |
495 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
349 |
326 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
115 |
75 |
$3K |
| 81002 |
|
1,511 |
1,071 |
$3K |
| 83655 |
|
167 |
148 |
$2K |
| 99307 |
|
59 |
43 |
$1K |
| 90686 |
|
640 |
548 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
140 |
34 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
203 |
189 |
$1K |
| 90473 |
|
120 |
113 |
$914.14 |
| 90632 |
|
86 |
76 |
$793.74 |
| 90670 |
|
428 |
389 |
$507.55 |
| 85018 |
|
171 |
149 |
$457.63 |
| 36416 |
|
103 |
79 |
$247.16 |
| 99188 |
|
25 |
25 |
$212.63 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
382 |
363 |
$191.43 |
| 90633 |
|
193 |
163 |
$98.25 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
133 |
120 |
$88.67 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
39 |
25 |
$28.80 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
153 |
116 |
$18.76 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
231 |
224 |
$7.93 |
| 81003 |
|
270 |
248 |
$2.67 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
61 |
39 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
63 |
52 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
224 |
181 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
144 |
105 |
$0.00 |
| 90723 |
|
142 |
131 |
$0.00 |
| 93000 |
|
29 |
26 |
$0.00 |
| 90716 |
|
19 |
16 |
$0.00 |
| 90651 |
|
41 |
38 |
$0.00 |
| 90681 |
|
41 |
37 |
$0.00 |
| 90648 |
|
343 |
320 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
392 |
375 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
240 |
216 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
73 |
62 |
$0.00 |
| 81025 |
|
136 |
117 |
$0.00 |
| 90715 |
|
74 |
63 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
34 |
34 |
$0.00 |
| 90707 |
|
18 |
15 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
25 |
25 |
$0.00 |
| 94060 |
|
12 |
12 |
$0.00 |
| 90734 |
|
20 |
17 |
$0.00 |