| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,896 |
28,047 |
$1.14M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,432 |
6,893 |
$527K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,949 |
8,211 |
$455K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,668 |
3,383 |
$394K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,591 |
5,111 |
$219K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,886 |
3,451 |
$153K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,423 |
2,288 |
$118K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,615 |
2,466 |
$93K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,481 |
1,386 |
$71K |
| X5622 |
|
1,182 |
1,040 |
$44K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,842 |
2,623 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
623 |
609 |
$31K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
756 |
711 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
191 |
187 |
$10K |
| 92551 |
|
1,248 |
1,171 |
$10K |
| 99188 |
|
706 |
669 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
510 |
466 |
$6K |
| 90837 |
Psychotherapy, 53 minutes with patient |
61 |
37 |
$6K |
| 99177 |
|
679 |
646 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
769 |
676 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
29 |
28 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
47 |
40 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
398 |
352 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
66 |
63 |
$2K |
| 90461 |
|
2,067 |
1,913 |
$2K |
| 90671 |
|
635 |
605 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
241 |
223 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
173 |
154 |
$1K |
| 99460 |
|
31 |
30 |
$505.56 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
103 |
89 |
$473.32 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
12 |
$444.12 |
| 20610 |
|
13 |
12 |
$358.36 |
| 90656 |
|
219 |
218 |
$164.01 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19 |
12 |
$89.99 |
| 99173 |
|
48 |
48 |
$78.35 |
| 90686 |
|
1,539 |
1,452 |
$61.17 |
| 90474 |
|
31 |
28 |
$13.45 |
| 90670 |
|
1,180 |
1,092 |
$0.00 |
| 90633 |
|
373 |
355 |
$0.00 |
| 90707 |
|
27 |
26 |
$0.00 |
| 90685 |
|
108 |
95 |
$0.00 |
| 90698 |
|
1,025 |
951 |
$0.00 |
| 90680 |
|
1,127 |
1,037 |
$0.00 |
| 90697 |
|
448 |
419 |
$0.00 |
| 90744 |
|
267 |
251 |
$0.00 |
| 90651 |
|
40 |
39 |
$0.00 |
| 90716 |
|
27 |
26 |
$0.00 |