| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,951 |
11,381 |
$898K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,652 |
4,294 |
$506K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,620 |
9,592 |
$502K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,092 |
5,694 |
$353K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
426 |
397 |
$65K |
| 99384 |
|
834 |
810 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
684 |
640 |
$55K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
968 |
925 |
$49K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,200 |
1,125 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
329 |
309 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
246 |
228 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
619 |
544 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
178 |
166 |
$12K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,117 |
548 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
187 |
171 |
$9K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,197 |
1,064 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
539 |
446 |
$6K |
| 99173 |
|
983 |
947 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
108 |
95 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
26 |
$2K |
| 90686 |
|
317 |
268 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
233 |
222 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
36 |
30 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
56 |
43 |
$821.40 |
| 3008F |
|
10,089 |
8,015 |
$658.98 |
| 20610 |
|
22 |
14 |
$603.65 |
| 36415 |
Collection of venous blood by venipuncture |
113 |
108 |
$592.88 |
| 99442 |
|
94 |
86 |
$516.15 |
| 90832 |
Psychotherapy, 30 minutes with patient |
16 |
12 |
$263.74 |
| 3074F |
|
5,745 |
4,665 |
$153.17 |
| 3077F |
|
1,939 |
1,653 |
$114.49 |
| 99441 |
|
15 |
15 |
$112.08 |
| 99499 |
|
12 |
12 |
$70.00 |
| 96127 |
|
17 |
17 |
$66.40 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
191 |
182 |
$59.06 |
| 3075F |
|
1,783 |
1,585 |
$0.03 |
| 3044F |
|
261 |
241 |
$0.03 |
| 3078F |
|
4,931 |
4,098 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
40 |
39 |
$0.00 |
| 3288F |
|
57 |
56 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
37 |
35 |
$0.00 |
| 90734 |
|
17 |
15 |
$0.00 |
| 3079F |
|
3,590 |
3,019 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
94 |
91 |
$0.00 |
| 3080F |
|
1,007 |
871 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
85 |
78 |
$0.00 |
| 1111F |
|
58 |
56 |
$0.00 |
| 1034F |
|
107 |
98 |
$0.00 |
| 99429 |
|
16 |
16 |
$0.00 |
| 1101F |
|
178 |
163 |
$0.00 |
| 3351F |
|
30 |
29 |
$0.00 |