| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,137 |
11,347 |
$559K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,641 |
5,801 |
$415K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,481 |
1,450 |
$112K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,640 |
1,561 |
$111K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,342 |
3,147 |
$88K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,466 |
1,347 |
$86K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,740 |
5,346 |
$78K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,400 |
5,670 |
$74K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,968 |
2,758 |
$38K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
331 |
307 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
395 |
393 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,128 |
1,027 |
$24K |
| 92551 |
|
3,027 |
2,961 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
265 |
256 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
166 |
161 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,263 |
1,153 |
$10K |
| 90474 |
|
700 |
635 |
$6K |
| 99173 |
|
3,215 |
3,064 |
$6K |
| 90686 |
|
1,062 |
963 |
$1K |
| 99382 |
|
14 |
12 |
$980.74 |
| 96127 |
|
606 |
531 |
$953.97 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$619.69 |
| 69210 |
|
14 |
12 |
$375.83 |
| 99177 |
|
199 |
156 |
$352.50 |
| 90621 |
|
14 |
12 |
$282.35 |
| 90620 |
|
89 |
85 |
$178.50 |
| 90473 |
|
13 |
13 |
$137.41 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
13 |
$80.15 |
| 90656 |
|
47 |
39 |
$45.37 |
| 85018 |
|
14 |
12 |
$25.96 |
| 90672 |
|
47 |
43 |
$25.00 |
| 90647 |
|
525 |
465 |
$11.00 |
| 90671 |
|
27 |
25 |
$0.03 |
| 90723 |
|
310 |
282 |
$0.00 |
| 90680 |
|
624 |
560 |
$0.00 |
| 90716 |
|
25 |
14 |
$0.00 |
| 90651 |
|
25 |
25 |
$0.00 |
| 90698 |
|
51 |
46 |
$0.00 |
| 90696 |
|
24 |
24 |
$0.00 |
| 90697 |
|
15 |
12 |
$0.00 |
| 90670 |
|
1,085 |
986 |
$0.00 |
| 90633 |
|
188 |
157 |
$0.00 |
| 90685 |
|
167 |
128 |
$0.00 |
| 90734 |
|
83 |
81 |
$0.00 |
| 90710 |
|
24 |
24 |
$0.00 |
| 90707 |
|
25 |
14 |
$0.00 |