| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,362 |
10,027 |
$495K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,436 |
4,105 |
$270K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,016 |
4,244 |
$263K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,471 |
3,300 |
$216K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,051 |
2,751 |
$195K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,914 |
2,745 |
$195K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,650 |
7,760 |
$109K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,607 |
5,131 |
$76K |
| 92551 |
|
4,728 |
4,454 |
$35K |
| 90474 |
|
2,550 |
2,128 |
$19K |
| 99050 |
|
787 |
767 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,341 |
1,610 |
$16K |
| 83655 |
|
1,822 |
1,422 |
$15K |
| 99051 |
|
844 |
705 |
$15K |
| 99188 |
|
580 |
505 |
$11K |
| 96161 |
|
2,316 |
1,024 |
$7K |
| 81002 |
|
2,709 |
2,502 |
$6K |
| 99173 |
|
4,971 |
4,557 |
$6K |
| 90473 |
|
520 |
489 |
$5K |
| 85018 |
|
2,622 |
1,966 |
$4K |
| 0001A |
|
169 |
148 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
172 |
151 |
$4K |
| 0071A |
|
110 |
79 |
$4K |
| 99460 |
|
96 |
78 |
$3K |
| 0002A |
|
120 |
106 |
$3K |
| 0072A |
|
52 |
52 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
197 |
190 |
$2K |
| 83026 |
|
1,076 |
986 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
334 |
313 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
20 |
14 |
$1K |
| 99462 |
|
39 |
25 |
$874.30 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
21 |
15 |
$616.57 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
69 |
64 |
$600.23 |
| 96127 |
|
299 |
126 |
$596.97 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
33 |
31 |
$323.20 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
454 |
337 |
$13.48 |
| 94760 |
|
40 |
34 |
$2.19 |
| 90633 |
|
1,730 |
1,517 |
$0.20 |
| 90651 |
|
584 |
531 |
$0.03 |
| 90671 |
|
499 |
299 |
$0.01 |
| 90698 |
|
171 |
167 |
$0.00 |
| 90723 |
|
1,433 |
1,260 |
$0.00 |
| 90686 |
|
1,011 |
851 |
$0.00 |
| 90680 |
|
2,660 |
2,152 |
$0.00 |
| 90619 |
|
182 |
153 |
$0.00 |
| 90696 |
|
167 |
165 |
$0.00 |
| 90697 |
|
1,074 |
715 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
491 |
441 |
$0.00 |
| 90677 |
|
378 |
351 |
$0.00 |
| 90744 |
|
19 |
18 |
$0.00 |
| 90674 |
|
156 |
136 |
$0.00 |
| 90688 |
|
214 |
152 |
$0.00 |
| 90660 |
|
92 |
59 |
$0.00 |
| 91307 |
|
144 |
125 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,209 |
440 |
$0.00 |
| 90461 |
|
605 |
261 |
$0.00 |
| 90672 |
|
666 |
646 |
$0.00 |
| 90710 |
|
1,441 |
1,340 |
$0.00 |
| 90670 |
|
3,019 |
2,519 |
$0.00 |
| 90734 |
|
566 |
522 |
$0.00 |
| 90648 |
|
2,023 |
1,808 |
$0.00 |
| 90658 |
|
152 |
148 |
$0.00 |
| 90700 |
|
329 |
315 |
$0.00 |
| 90715 |
|
167 |
156 |
$0.00 |
| 91300 |
|
304 |
248 |
$0.00 |
| 90685 |
|
227 |
222 |
$0.00 |
| 90649 |
|
354 |
342 |
$0.00 |
| 90661 |
|
125 |
89 |
$0.00 |
| 90655 |
|
56 |
56 |
$0.00 |