| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,341 |
9,997 |
$726K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,957 |
3,754 |
$351K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,503 |
1,492 |
$120K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,290 |
1,284 |
$104K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,246 |
1,223 |
$88K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
667 |
663 |
$57K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,282 |
2,602 |
$40K |
| 99460 |
|
153 |
151 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
829 |
811 |
$7K |
| 86328 |
|
182 |
180 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
67 |
$5K |
| G0008 |
Administration of influenza virus vaccine |
630 |
627 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
105 |
105 |
$4K |
| 92552 |
|
148 |
148 |
$3K |
| 99462 |
|
92 |
57 |
$2K |
| 97803 |
|
306 |
289 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
218 |
217 |
$1K |
| 99381 |
|
14 |
14 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
368 |
356 |
$1K |
| 90671 |
|
12 |
12 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$907.76 |
| 0071A |
|
13 |
12 |
$385.00 |
| 99172 |
|
80 |
80 |
$280.66 |
| 81000 |
|
228 |
215 |
$207.99 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
30 |
$207.78 |
| 90686 |
|
251 |
250 |
$135.41 |
| 90670 |
|
108 |
108 |
$88.00 |
| 86318 |
|
22 |
22 |
$77.30 |
| 83655 |
|
27 |
27 |
$74.15 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
295 |
280 |
$15.00 |
| 90461 |
|
1,239 |
1,103 |
$11.00 |
| 85018 |
|
27 |
27 |
$10.60 |
| G9007 |
Coordinated care fee, scheduled team conference |
315 |
309 |
$0.02 |
| G9002 |
Coordinated care fee, maintenance rate |
466 |
451 |
$0.01 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
159 |
156 |
$0.00 |
| 90698 |
|
64 |
64 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |
| 90633 |
|
38 |
38 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90707 |
|
70 |
70 |
$0.00 |