| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,674 |
15,442 |
$1.35M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,174 |
1,020 |
$133K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,510 |
2,700 |
$124K |
| 81025 |
|
2,751 |
669 |
$53K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,580 |
1,493 |
$30K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
470 |
158 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
533 |
223 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,885 |
1,857 |
$19K |
| 90837 |
Psychotherapy, 53 minutes with patient |
155 |
90 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
285 |
248 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
239 |
165 |
$8K |
| 96127 |
|
1,932 |
1,841 |
$7K |
| 99385 |
|
186 |
64 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
352 |
351 |
$6K |
| 0011A |
|
360 |
356 |
$6K |
| 0012A |
|
241 |
241 |
$5K |
| 90845 |
|
54 |
26 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
137 |
113 |
$4K |
| 99215 |
Prolong outpt/office vis |
34 |
12 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
38 |
$3K |
| 90686 |
|
544 |
511 |
$2K |
| 96160 |
|
491 |
429 |
$2K |
| 90688 |
|
110 |
107 |
$2K |
| 99173 |
|
1,639 |
1,635 |
$2K |
| 0013A |
|
43 |
33 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
20 |
12 |
$2K |
| 1159F |
|
1,882 |
1,721 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$892.41 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$815.07 |
| 0001A |
|
43 |
43 |
$719.78 |
| G0008 |
Administration of influenza virus vaccine |
45 |
31 |
$502.23 |
| 0002A |
|
25 |
25 |
$437.35 |
| 3079F |
|
279 |
264 |
$382.82 |
| 90756 |
|
20 |
20 |
$365.00 |
| 3078F |
|
1,068 |
986 |
$324.33 |
| 3074F |
|
1,603 |
1,487 |
$318.40 |
| 99174 |
|
323 |
323 |
$170.68 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$158.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
31 |
$140.43 |
| 81002 |
|
65 |
54 |
$108.96 |
| 90656 |
|
13 |
12 |
$105.59 |
| 99000 |
|
2,286 |
2,099 |
$0.00 |
| 91301 |
|
226 |
220 |
$0.00 |
| 90654 |
|
163 |
163 |
$0.00 |
| 1126F |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
67 |
66 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 92587 |
|
14 |
12 |
$0.00 |
| 1160F |
|
1,779 |
1,659 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 91300 |
|
26 |
25 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |