| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,133 |
17,409 |
$778K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,076 |
28,575 |
$770K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,206 |
7,957 |
$499K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,083 |
8,980 |
$258K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,932 |
4,900 |
$136K |
| 99381 |
|
1,286 |
1,231 |
$106K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,773 |
1,765 |
$65K |
| 92551 |
|
7,473 |
7,446 |
$53K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,598 |
8,043 |
$50K |
| 90670 |
|
5,243 |
5,183 |
$47K |
| 90648 |
|
6,273 |
6,154 |
$46K |
| 99223 |
Prolong inpt eval add15 m |
517 |
515 |
$41K |
| 99222 |
Initial hospital care, per day, moderate complexity |
460 |
460 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,165 |
1,163 |
$32K |
| 90681 |
|
3,348 |
3,315 |
$27K |
| 90723 |
|
3,433 |
3,392 |
$26K |
| 90700 |
|
2,655 |
2,637 |
$19K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
505 |
402 |
$19K |
| 90633 |
|
2,800 |
2,782 |
$18K |
| 90697 |
|
373 |
366 |
$18K |
| 99233 |
Prolong inpt eval add15 m |
357 |
279 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
310 |
237 |
$13K |
| 99383 |
|
295 |
293 |
$12K |
| 90713 |
|
1,228 |
1,222 |
$10K |
| 90671 |
|
1,195 |
1,186 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
120 |
119 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,588 |
902 |
$7K |
| 90686 |
|
988 |
982 |
$6K |
| 99173 |
|
4,875 |
4,854 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
519 |
504 |
$5K |
| 90716 |
|
841 |
828 |
$5K |
| 90707 |
|
814 |
799 |
$5K |
| 90744 |
|
479 |
479 |
$4K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
734 |
732 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
606 |
602 |
$4K |
| 90710 |
|
551 |
550 |
$4K |
| 99382 |
|
84 |
84 |
$4K |
| 92081 |
|
215 |
205 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
48 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,405 |
1,387 |
$3K |
| 90696 |
|
469 |
468 |
$3K |
| 90651 |
|
237 |
236 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
104 |
103 |
$2K |
| 99221 |
|
28 |
28 |
$1K |
| 96127 |
|
833 |
828 |
$1K |
| 90685 |
|
124 |
123 |
$933.45 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$682.54 |
| 99384 |
|
28 |
28 |
$592.48 |
| 90656 |
|
72 |
72 |
$423.00 |
| 90734 |
|
88 |
88 |
$368.66 |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$251.29 |
| 96156 |
|
76 |
76 |
$101.16 |
| 90715 |
|
16 |
16 |
$101.10 |
| 99072 |
|
8,951 |
8,052 |
$93.50 |
| 86580 |
|
12 |
12 |
$39.96 |
| 90461 |
|
331 |
303 |
$30.00 |
| 99401 |
|
351 |
351 |
$0.00 |
| 96160 |
|
27 |
27 |
$0.00 |
| 3008F |
|
1,077 |
1,075 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
121 |
121 |
$0.00 |