| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,647 |
9,137 |
$76K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
893 |
881 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,604 |
2,587 |
$60K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,846 |
1,840 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,643 |
1,625 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,322 |
2,031 |
$36K |
| 92551 |
|
4,327 |
4,317 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,012 |
5,942 |
$14K |
| 86580 |
|
5,632 |
5,612 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,599 |
2,572 |
$10K |
| 90686 |
|
2,384 |
2,357 |
$8K |
| 90670 |
|
571 |
568 |
$3K |
| 0071A |
|
91 |
91 |
$2K |
| 99173 |
|
3,894 |
3,891 |
$2K |
| 90698 |
|
324 |
322 |
$2K |
| 0072A |
|
65 |
65 |
$2K |
| 90651 |
|
581 |
578 |
$2K |
| 99381 |
|
15 |
15 |
$2K |
| 90680 |
|
170 |
167 |
$2K |
| 92552 |
|
213 |
213 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
317 |
308 |
$1K |
| 90715 |
|
392 |
390 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$964.94 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
268 |
268 |
$656.40 |
| 90633 |
|
142 |
140 |
$477.11 |
| 99383 |
|
14 |
14 |
$470.08 |
| 90744 |
|
67 |
63 |
$463.05 |
| 0002A |
|
12 |
12 |
$400.02 |
| 90674 |
|
65 |
65 |
$396.13 |
| 90734 |
|
194 |
194 |
$396.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$342.04 |
| 90620 |
|
162 |
161 |
$252.00 |
| 85018 |
|
95 |
95 |
$174.97 |
| 90658 |
|
29 |
29 |
$135.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$118.82 |
| 90619 |
|
18 |
18 |
$117.00 |
| 90700 |
|
13 |
13 |
$63.00 |
| 90713 |
|
13 |
13 |
$63.00 |
| 90688 |
|
119 |
119 |
$63.00 |
| 90696 |
|
35 |
35 |
$63.00 |
| 90710 |
|
19 |
19 |
$45.00 |
| 81002 |
|
41 |
41 |
$24.66 |
| 99442 |
|
104 |
99 |
$0.00 |
| 99441 |
|
169 |
163 |
$0.00 |
| 91307 |
|
41 |
41 |
$0.00 |