| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,798 |
12,564 |
$2.99M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,289 |
3,912 |
$762K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,282 |
1,851 |
$509K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,116 |
1,866 |
$456K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,334 |
1,266 |
$296K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
975 |
939 |
$196K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
593 |
572 |
$132K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
218 |
212 |
$49K |
| 99307 |
|
294 |
271 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,473 |
2,371 |
$27K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
333 |
289 |
$17K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
966 |
854 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
37 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
46 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 90686 |
|
531 |
529 |
$750.03 |
| 96127 |
|
125 |
119 |
$517.06 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
141 |
140 |
$405.97 |
| 90723 |
|
347 |
316 |
$250.01 |
| 90647 |
|
411 |
369 |
$250.01 |
| 90670 |
|
1,081 |
1,041 |
$246.31 |
| 90461 |
|
1,609 |
1,522 |
$238.20 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
509 |
436 |
$162.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.02 |
| 90633 |
|
148 |
138 |
$0.00 |
| 81025 |
|
147 |
138 |
$0.00 |
| 90710 |
|
92 |
88 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
144 |
144 |
$0.00 |
| 90473 |
|
281 |
277 |
$0.00 |
| 90715 |
|
40 |
40 |
$0.00 |
| 90685 |
|
97 |
94 |
$0.00 |
| 99442 |
|
17 |
16 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |
| 90681 |
|
16 |
12 |
$0.00 |
| 81002 |
|
24 |
24 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 99080 |
|
17 |
12 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 87430 |
|
251 |
197 |
$0.00 |
| 90680 |
|
512 |
500 |
$0.00 |
| 90698 |
|
370 |
367 |
$0.00 |
| 99441 |
|
92 |
86 |
$0.00 |
| 90744 |
|
151 |
149 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
17 |
16 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
24 |
24 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |