| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,036 |
13,082 |
$378K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,068 |
25,926 |
$277K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
21,011 |
17,904 |
$235K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,019 |
4,955 |
$186K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,450 |
4,376 |
$160K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13,580 |
13,189 |
$160K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,126 |
4,075 |
$159K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,856 |
3,714 |
$141K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,459 |
502 |
$122K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,071 |
5,921 |
$106K |
| 90677 |
|
491 |
475 |
$93K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,711 |
3,559 |
$73K |
| 90791 |
Psychiatric diagnostic evaluation |
313 |
298 |
$47K |
| 90697 |
|
264 |
251 |
$26K |
| 90651 |
|
855 |
812 |
$22K |
| 90461 |
|
1,341 |
1,289 |
$22K |
| 92552 |
|
11,056 |
10,869 |
$21K |
| 3008F |
|
34,150 |
31,006 |
$19K |
| 90734 |
|
1,003 |
972 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,784 |
1,738 |
$15K |
| 99215 |
Prolong outpt/office vis |
141 |
133 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
362 |
329 |
$12K |
| 99381 |
|
264 |
254 |
$11K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,020 |
3,659 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,297 |
1,250 |
$9K |
| 99460 |
|
129 |
128 |
$9K |
| 99173 |
|
10,830 |
10,655 |
$8K |
| 90621 |
|
245 |
236 |
$7K |
| 36416 |
|
834 |
814 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,613 |
3,432 |
$6K |
| 99441 |
|
1,698 |
1,621 |
$5K |
| 96127 |
|
7,464 |
7,315 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
123 |
123 |
$4K |
| 99051 |
|
3,657 |
3,523 |
$4K |
| 90686 |
|
988 |
946 |
$4K |
| 90473 |
|
1,334 |
1,301 |
$4K |
| 90656 |
|
2,887 |
2,768 |
$3K |
| 90716 |
|
272 |
252 |
$3K |
| 90670 |
|
1,250 |
1,050 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
165 |
159 |
$3K |
| 99058 |
|
11,775 |
11,059 |
$2K |
| 90715 |
|
381 |
370 |
$2K |
| 90633 |
|
1,075 |
930 |
$2K |
| 83655 |
|
144 |
128 |
$2K |
| 90698 |
|
922 |
805 |
$1K |
| 90707 |
|
269 |
237 |
$1K |
| 90680 |
|
1,161 |
976 |
$1K |
| 94664 |
|
134 |
121 |
$1K |
| 90700 |
|
309 |
250 |
$1K |
| 90685 |
|
771 |
675 |
$857.14 |
| 94760 |
|
5,808 |
5,454 |
$600.05 |
| 81002 |
|
850 |
787 |
$268.10 |
| 81025 |
|
76 |
72 |
$203.78 |
| 69210 |
|
12 |
12 |
$186.02 |
| 85046 |
|
164 |
163 |
$85.59 |
| 90744 |
|
376 |
340 |
$82.80 |
| 90696 |
|
157 |
141 |
$62.13 |
| 85018 |
|
569 |
445 |
$56.45 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
16 |
$27.32 |
| 86403 |
|
2,629 |
2,523 |
$26.40 |
| 90648 |
|
163 |
125 |
$25.84 |
| H0033 |
Oral medication administration, direct observation |
37 |
37 |
$6.00 |
| 99000 |
|
1,594 |
1,551 |
$2.25 |
| 90710 |
|
499 |
409 |
$2.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
25 |
25 |
$2.00 |
| 99072 |
|
1,546 |
1,492 |
$0.00 |
| 97802 |
|
3,889 |
3,528 |
$0.00 |
| 99243 |
|
13 |
13 |
$0.00 |
| 82962 |
|
12 |
12 |
$0.00 |