| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,612 |
8,863 |
$406K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,081 |
4,673 |
$340K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,858 |
2,576 |
$149K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,602 |
4,406 |
$136K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,606 |
1,483 |
$119K |
| 54150 |
|
715 |
673 |
$118K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,449 |
2,280 |
$113K |
| 99460 |
|
1,665 |
1,575 |
$96K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,746 |
5,243 |
$83K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,594 |
3,297 |
$63K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,449 |
765 |
$47K |
| 96161 |
|
2,978 |
2,734 |
$45K |
| 99233 |
Prolong inpt eval add15 m |
815 |
355 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
895 |
790 |
$25K |
| 99220 |
|
328 |
294 |
$22K |
| 99223 |
Prolong inpt eval add15 m |
246 |
226 |
$19K |
| 76801 |
|
266 |
199 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
241 |
220 |
$18K |
| 90474 |
|
1,626 |
1,509 |
$16K |
| 81025 |
|
2,531 |
2,054 |
$12K |
| 99462 |
|
350 |
306 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
596 |
476 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
4,789 |
4,003 |
$8K |
| 3008F |
|
2,106 |
1,865 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
664 |
314 |
$7K |
| 99219 |
|
77 |
74 |
$6K |
| 99217 |
|
156 |
143 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
59 |
51 |
$5K |
| 90686 |
|
727 |
669 |
$5K |
| 83655 |
|
382 |
351 |
$4K |
| 36416 |
|
2,570 |
2,320 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
204 |
198 |
$3K |
| 90715 |
|
99 |
75 |
$3K |
| 87210 |
|
814 |
697 |
$3K |
| 81001 |
|
3,403 |
2,806 |
$2K |
| 92551 |
|
328 |
279 |
$2K |
| 85018 |
|
780 |
707 |
$2K |
| 96127 |
|
415 |
323 |
$2K |
| 99177 |
|
257 |
226 |
$1K |
| 99226 |
|
33 |
29 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
15 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
13 |
$693.39 |
| 90670 |
|
2,364 |
2,196 |
$606.47 |
| 81002 |
|
3,781 |
3,177 |
$505.70 |
| 96160 |
|
54 |
39 |
$490.84 |
| 99307 |
|
32 |
31 |
$407.78 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
30 |
$312.24 |
| 0500F |
|
399 |
355 |
$300.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
45 |
41 |
$229.94 |
| 99406 |
|
23 |
15 |
$180.32 |
| 81003 |
|
80 |
70 |
$53.08 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$32.58 |
| 85610 |
|
13 |
12 |
$21.34 |
| 90648 |
|
1,428 |
1,310 |
$17.37 |
| 0502F |
|
5,720 |
4,832 |
$10.00 |
| 99000 |
|
5,265 |
4,428 |
$4.57 |
| 90707 |
|
201 |
187 |
$0.00 |
| 90633 |
|
315 |
293 |
$0.00 |
| 90685 |
|
30 |
30 |
$0.00 |
| 90700 |
|
13 |
12 |
$0.00 |
| 90680 |
|
1,617 |
1,502 |
$0.00 |
| 90723 |
|
1,050 |
964 |
$0.00 |
| 90698 |
|
222 |
207 |
$0.00 |
| 3292F |
|
350 |
268 |
$0.00 |
| 3294F |
|
324 |
251 |
$0.00 |
| 90716 |
|
203 |
189 |
$0.00 |