| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
111,937 |
107,694 |
$10.85M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
81,255 |
78,624 |
$5.50M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,861 |
10,832 |
$396K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,416 |
1,416 |
$133K |
| 90686 |
|
5,801 |
5,793 |
$86K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,599 |
3,589 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
558 |
557 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
511 |
497 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
424 |
424 |
$43K |
| 90837 |
Psychotherapy, 53 minutes with patient |
226 |
145 |
$35K |
| 99215 |
Prolong outpt/office vis |
90 |
88 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
86 |
86 |
$9K |
| G0008 |
Administration of influenza virus vaccine |
506 |
506 |
$8K |
| 99442 |
|
59 |
55 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
265 |
252 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$2K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
106 |
96 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
45 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 90715 |
|
48 |
48 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 90661 |
|
58 |
58 |
$1K |
| 99441 |
|
14 |
14 |
$700.00 |
| 96127 |
|
166 |
166 |
$698.59 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$502.97 |
| 81025 |
|
72 |
71 |
$465.28 |
| 90688 |
|
28 |
28 |
$451.94 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
24 |
$301.78 |
| 81002 |
|
113 |
109 |
$294.93 |
| 99188 |
|
13 |
13 |
$186.48 |
| 90651 |
|
51 |
51 |
$0.00 |
| 90734 |
|
32 |
32 |
$0.00 |