| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,828 |
9,474 |
$679K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,320 |
4,099 |
$413K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,460 |
2,441 |
$232K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,128 |
2,123 |
$199K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
695 |
689 |
$60K |
| 90686 |
|
3,699 |
3,669 |
$53K |
| 92551 |
|
7,286 |
7,242 |
$49K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
231 |
229 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
446 |
441 |
$9K |
| 99173 |
|
5,546 |
5,517 |
$9K |
| 90688 |
|
565 |
563 |
$7K |
| 99215 |
Prolong outpt/office vis |
40 |
37 |
$5K |
| 96127 |
|
1,479 |
1,436 |
$5K |
| 90670 |
|
316 |
313 |
$4K |
| 90480 |
|
125 |
124 |
$4K |
| 90685 |
|
213 |
212 |
$3K |
| 0082A |
|
30 |
30 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$1K |
| 90698 |
|
59 |
59 |
$758.54 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
33 |
33 |
$689.54 |
| 90656 |
|
223 |
223 |
$658.54 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
49 |
26 |
$603.03 |
| 90744 |
|
27 |
27 |
$483.75 |
| 90651 |
|
42 |
42 |
$302.52 |
| 91319 |
|
12 |
12 |
$129.10 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
26 |
26 |
$56.80 |
| 81002 |
|
15 |
14 |
$46.66 |
| 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) |
221 |
218 |
$20.00 |
| 96160 |
|
13 |
13 |
$0.09 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
92 |
92 |
$0.00 |
| 3008F |
|
6,246 |
6,206 |
$0.00 |
| 99072 |
|
563 |
548 |
$0.00 |
| 3085F |
|
14 |
14 |
$0.00 |