| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,713 |
43,123 |
$2.35M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,837 |
9,210 |
$650K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,451 |
4,357 |
$293K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,070 |
2,978 |
$201K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,412 |
11,393 |
$193K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,748 |
2,664 |
$187K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,619 |
6,769 |
$148K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15,320 |
14,354 |
$147K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,722 |
9,959 |
$136K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
8,935 |
8,779 |
$127K |
| 94060 |
|
2,943 |
2,671 |
$119K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
456 |
451 |
$104K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,451 |
2,243 |
$89K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,871 |
4,747 |
$74K |
| 92567 |
|
9,824 |
8,599 |
$74K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,223 |
1,155 |
$71K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
693 |
569 |
$67K |
| 92587 |
|
3,200 |
2,969 |
$53K |
| 90461 |
|
3,059 |
2,905 |
$48K |
| 93000 |
|
3,423 |
3,409 |
$43K |
| 94010 |
|
1,599 |
1,545 |
$34K |
| 99215 |
Prolong outpt/office vis |
290 |
261 |
$24K |
| 3008F |
|
11,805 |
10,764 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
305 |
289 |
$20K |
| 92558 |
|
4,504 |
4,401 |
$19K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,491 |
2,347 |
$18K |
| 36406 |
|
960 |
937 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
160 |
157 |
$16K |
| 90686 |
|
3,086 |
2,915 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
4,805 |
4,711 |
$13K |
| 83655 |
|
1,579 |
1,389 |
$13K |
| 99173 |
|
7,124 |
6,790 |
$12K |
| 90651 |
|
559 |
535 |
$8K |
| 90677 |
|
37 |
33 |
$6K |
| 94644 |
|
303 |
294 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
720 |
591 |
$6K |
| 92588 |
|
173 |
173 |
$6K |
| 96127 |
|
1,547 |
1,331 |
$4K |
| 90734 |
|
318 |
298 |
$4K |
| 99401 |
|
182 |
177 |
$3K |
| 90716 |
|
193 |
173 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
40 |
$3K |
| 90670 |
|
444 |
402 |
$3K |
| 90620 |
|
84 |
83 |
$2K |
| 86580 |
|
448 |
434 |
$2K |
| 90707 |
|
138 |
123 |
$1K |
| 90656 |
|
239 |
229 |
$1K |
| 90474 |
|
151 |
129 |
$1K |
| 94664 |
|
289 |
277 |
$963.15 |
| 99441 |
|
160 |
158 |
$732.38 |
| 90473 |
|
296 |
293 |
$490.51 |
| 90633 |
|
318 |
301 |
$382.66 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
347 |
337 |
$319.29 |
| 90696 |
|
59 |
57 |
$298.78 |
| 90715 |
|
83 |
79 |
$274.35 |
| 90674 |
|
17 |
17 |
$242.88 |
| 69210 |
|
17 |
17 |
$144.19 |
| 90698 |
|
172 |
156 |
$111.37 |
| 97802 |
|
3,610 |
3,362 |
$71.00 |
| 81002 |
|
32 |
31 |
$28.08 |
| 90685 |
|
28 |
24 |
$0.00 |
| 92551 |
|
130 |
120 |
$0.00 |
| 96156 |
|
89 |
85 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
71 |
69 |
$0.00 |
| 90680 |
|
108 |
98 |
$0.00 |
| 90744 |
|
14 |
14 |
$0.00 |