| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,315 |
24,305 |
$1.73M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,071 |
5,974 |
$543K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,685 |
12,382 |
$336K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,774 |
3,441 |
$293K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,185 |
2,925 |
$244K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,716 |
2,490 |
$232K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,678 |
2,379 |
$184K |
| 90461 |
|
4,590 |
3,809 |
$85K |
| 92587 |
|
6,933 |
5,501 |
$77K |
| 97802 |
|
7,378 |
6,010 |
$67K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,323 |
5,786 |
$44K |
| 90651 |
|
1,302 |
994 |
$35K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,497 |
2,841 |
$35K |
| 90670 |
|
2,347 |
1,985 |
$32K |
| 99177 |
|
4,308 |
3,912 |
$21K |
| 96127 |
|
7,143 |
6,218 |
$20K |
| 90649 |
|
372 |
371 |
$20K |
| 92558 |
|
1,928 |
1,895 |
$18K |
| 90686 |
|
4,282 |
3,687 |
$15K |
| 90734 |
|
923 |
755 |
$15K |
| 90716 |
|
1,180 |
971 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
4,178 |
3,653 |
$14K |
| 36406 |
|
940 |
808 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
330 |
322 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
152 |
112 |
$9K |
| 90681 |
|
996 |
848 |
$8K |
| 99401 |
|
2,236 |
1,776 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
513 |
479 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
737 |
370 |
$6K |
| 99381 |
|
114 |
98 |
$6K |
| 90713 |
|
2,556 |
2,140 |
$6K |
| 90700 |
|
3,055 |
2,589 |
$6K |
| 99441 |
|
512 |
386 |
$5K |
| 90707 |
|
1,053 |
896 |
$5K |
| 96160 |
|
3,490 |
2,986 |
$5K |
| 99173 |
|
4,205 |
3,075 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
429 |
157 |
$4K |
| 99215 |
Prolong outpt/office vis |
32 |
29 |
$4K |
| 90620 |
|
294 |
208 |
$4K |
| 90633 |
|
1,356 |
1,163 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
39 |
$3K |
| 0001A |
|
68 |
67 |
$3K |
| 99051 |
|
917 |
885 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
81 |
27 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
149 |
140 |
$2K |
| 90744 |
|
949 |
807 |
$2K |
| 90648 |
|
1,843 |
1,465 |
$2K |
| 90715 |
|
406 |
289 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
192 |
170 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
70 |
45 |
$1K |
| 92015 |
Determination of refractive state |
891 |
599 |
$1K |
| 85018 |
|
1,112 |
954 |
$1K |
| 90657 |
|
620 |
561 |
$903.62 |
| 0002A |
|
34 |
32 |
$897.71 |
| 99000 |
|
428 |
413 |
$876.00 |
| 90658 |
|
147 |
147 |
$861.08 |
| 99222 |
Initial hospital care, per day, moderate complexity |
17 |
14 |
$743.10 |
| 90647 |
|
392 |
392 |
$545.43 |
| 83655 |
|
78 |
76 |
$471.27 |
| 99442 |
|
18 |
18 |
$417.45 |
| 81000 |
|
287 |
253 |
$330.50 |
| 90656 |
|
52 |
50 |
$127.67 |
| 91300 |
|
130 |
119 |
$98.00 |
| 86580 |
|
15 |
14 |
$95.92 |
| 36416 |
|
237 |
186 |
$38.00 |