| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,526 |
9,594 |
$1.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,759 |
8,094 |
$749K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,057 |
8,443 |
$557K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,460 |
5,386 |
$506K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,023 |
1,978 |
$139K |
| 99460 |
|
467 |
459 |
$78K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,754 |
12,396 |
$58K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
732 |
704 |
$40K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
300 |
293 |
$37K |
| 90837 |
Psychotherapy, 53 minutes with patient |
366 |
270 |
$36K |
| 59514 |
|
12 |
12 |
$26K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
155 |
150 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
10,665 |
10,280 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
2,307 |
2,114 |
$6K |
| 36416 |
|
4,778 |
4,141 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
28 |
28 |
$4K |
| 90473 |
|
4,126 |
3,931 |
$3K |
| 90686 |
|
5,450 |
5,339 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
476 |
469 |
$3K |
| 99188 |
|
1,476 |
1,458 |
$2K |
| 85018 |
|
1,398 |
1,357 |
$2K |
| 0071A |
|
58 |
53 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 90480 |
|
112 |
106 |
$1K |
| 90677 |
|
1,434 |
1,414 |
$1K |
| 99462 |
|
14 |
12 |
$871.00 |
| 90688 |
|
289 |
262 |
$820.70 |
| 90715 |
|
71 |
69 |
$745.70 |
| 91320 |
|
29 |
28 |
$655.50 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$617.33 |
| 90656 |
|
536 |
534 |
$495.61 |
| 90723 |
|
2,500 |
2,330 |
$283.28 |
| 99173 |
|
1,555 |
1,521 |
$262.25 |
| 90620 |
|
75 |
66 |
$223.75 |
| 90707 |
|
448 |
444 |
$220.59 |
| 90647 |
|
4,038 |
3,821 |
$185.47 |
| 90651 |
|
309 |
298 |
$178.00 |
| 90680 |
|
4,127 |
3,928 |
$174.27 |
| 96127 |
|
328 |
323 |
$160.72 |
| 91307 |
|
81 |
70 |
$120.00 |
| 90685 |
|
44 |
41 |
$112.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
80 |
80 |
$96.03 |
| 96161 |
|
425 |
413 |
$73.28 |
| 90697 |
|
1,914 |
1,871 |
$52.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
38 |
$39.17 |
| 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) |
68 |
68 |
$20.00 |
| 91318 |
|
32 |
29 |
$0.00 |
| 90381 |
|
50 |
50 |
$0.00 |
| 0503F |
|
61 |
59 |
$0.00 |
| 90716 |
|
444 |
441 |
$0.00 |
| 90696 |
|
92 |
88 |
$0.00 |
| 90619 |
|
42 |
41 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
40 |
40 |
$0.00 |
| 3074F |
|
69 |
69 |
$0.00 |
| 90670 |
|
5,024 |
4,774 |
$0.00 |
| 90633 |
|
1,300 |
1,286 |
$0.00 |
| 90710 |
|
93 |
89 |
$0.00 |
| 90700 |
|
269 |
264 |
$0.00 |
| 3078F |
|
50 |
50 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |