| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,635 |
11,721 |
$924K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,359 |
20,924 |
$849K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,756 |
7,723 |
$616K |
| 99460 |
|
8,019 |
7,957 |
$609K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
8,605 |
8,491 |
$492K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
1,411 |
282 |
$487K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
38,916 |
15,672 |
$428K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,843 |
4,830 |
$409K |
| 99464 |
|
4,379 |
4,346 |
$373K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
2,659 |
376 |
$293K |
| 99462 |
|
6,860 |
6,137 |
$252K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
2,149 |
179 |
$244K |
| 99468 |
|
287 |
287 |
$216K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,670 |
1,640 |
$142K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,533 |
6,558 |
$70K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,338 |
2,260 |
$58K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,693 |
3,609 |
$50K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
560 |
551 |
$40K |
| 90461 |
|
12,242 |
10,781 |
$40K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,067 |
2,041 |
$25K |
| 99222 |
Initial hospital care, per day, moderate complexity |
194 |
181 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
263 |
255 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
173 |
167 |
$10K |
| 87807 |
|
884 |
870 |
$8K |
| 99384 |
|
66 |
65 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
103 |
54 |
$5K |
| 99477 |
|
12 |
12 |
$5K |
| 99383 |
|
50 |
50 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
285 |
280 |
$4K |
| 99381 |
|
61 |
54 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$2K |
| 99382 |
|
17 |
16 |
$1K |
| 99463 |
|
12 |
12 |
$1K |
| 99242 |
|
13 |
13 |
$913.25 |
| 87280 |
|
56 |
56 |
$462.07 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
41 |
40 |
$412.72 |
| 86580 |
|
30 |
30 |
$231.84 |
| 90671 |
|
3,811 |
3,777 |
$0.00 |
| 90633 |
|
3,005 |
2,991 |
$0.00 |
| 90710 |
|
983 |
976 |
$0.00 |
| 90715 |
|
359 |
359 |
$0.00 |
| 90734 |
|
591 |
590 |
$0.00 |
| 90707 |
|
1,656 |
1,650 |
$0.00 |
| 90700 |
|
1,570 |
1,559 |
$0.00 |
| 90670 |
|
4,145 |
4,128 |
$0.00 |
| 90713 |
|
52 |
52 |
$0.00 |
| 90685 |
|
783 |
782 |
$0.00 |
| 90723 |
|
1,057 |
1,055 |
$0.00 |
| 90696 |
|
915 |
903 |
$0.00 |
| 90697 |
|
4,620 |
4,579 |
$0.00 |
| 90647 |
|
2,686 |
2,676 |
$0.00 |
| 90686 |
|
1,204 |
1,200 |
$0.00 |
| 90651 |
|
1,682 |
1,676 |
$0.00 |
| 90680 |
|
5,718 |
5,685 |
$0.00 |
| 90716 |
|
1,640 |
1,634 |
$0.00 |
| 90698 |
|
526 |
525 |
$0.00 |
| 90620 |
|
90 |
90 |
$0.00 |
| 90744 |
|
41 |
41 |
$0.00 |