| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
168,116 |
158,063 |
$5.36M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58,003 |
54,919 |
$2.75M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24,687 |
23,327 |
$829K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
23,101 |
21,962 |
$681K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19,016 |
18,171 |
$677K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
10,941 |
10,417 |
$455K |
| 99215 |
Prolong outpt/office vis |
6,315 |
5,954 |
$377K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,230 |
6,946 |
$259K |
| 99188 |
|
11,006 |
10,284 |
$248K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,670 |
3,507 |
$204K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,983 |
2,866 |
$197K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
2,857 |
1,165 |
$141K |
| 99243 |
|
3,266 |
3,158 |
$131K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,220 |
1,058 |
$117K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,129 |
1,067 |
$87K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,320 |
673 |
$66K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,438 |
2,384 |
$65K |
| 64643 |
|
551 |
529 |
$48K |
| 99417 |
Prolong home eval add 15m |
1,555 |
1,132 |
$47K |
| 64642 |
|
587 |
561 |
$45K |
| 99381 |
|
823 |
752 |
$27K |
| 92015 |
Determination of refractive state |
1,909 |
1,875 |
$25K |
| 99245 |
|
264 |
251 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,266 |
1,128 |
$20K |
| 99205 |
Prolong outpt/office vis |
274 |
262 |
$20K |
| 92551 |
|
2,251 |
2,133 |
$14K |
| 96127 |
|
3,216 |
1,844 |
$12K |
| 99384 |
|
205 |
200 |
$9K |
| 95251 |
|
883 |
828 |
$8K |
| 31575 |
|
202 |
186 |
$8K |
| 97535 |
Self-care/home management training, each 15 minutes |
255 |
130 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
175 |
154 |
$7K |
| 54150 |
|
102 |
98 |
$5K |
| 17110 |
|
169 |
167 |
$5K |
| 36512 |
|
71 |
67 |
$4K |
| 99173 |
|
1,634 |
1,560 |
$4K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
50 |
40 |
$4K |
| 99242 |
|
86 |
83 |
$2K |
| 92060 |
|
134 |
127 |
$2K |
| 99383 |
|
55 |
54 |
$2K |
| 92201 |
|
80 |
68 |
$1K |
| 99382 |
|
70 |
63 |
$1K |
| 95873 |
|
60 |
56 |
$1K |
| 90651 |
|
262 |
243 |
$989.16 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
31 |
$939.62 |
| 97116 |
|
31 |
15 |
$895.25 |
| 69210 |
|
45 |
40 |
$852.44 |
| 92504 |
|
267 |
244 |
$655.95 |
| 90619 |
|
533 |
518 |
$474.18 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
20 |
19 |
$429.04 |
| 16020 |
|
14 |
13 |
$413.64 |
| 90656 |
|
411 |
403 |
$187.66 |
| 92567 |
|
14 |
12 |
$182.14 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
40 |
38 |
$181.10 |
| 90620 |
|
109 |
106 |
$179.76 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
19 |
14 |
$166.88 |
| 96161 |
|
59 |
59 |
$120.76 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$53.68 |
| 90686 |
|
115 |
100 |
$46.94 |
| 90715 |
|
175 |
168 |
$40.20 |
| 3074F |
|
22,674 |
22,276 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
943 |
879 |
$0.00 |
| 3044F |
|
475 |
444 |
$0.00 |
| 3075F |
|
62 |
61 |
$0.00 |
| 3079F |
|
179 |
178 |
$0.00 |
| 3078F |
|
22,059 |
21,675 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
933 |
870 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
26 |
24 |
$0.00 |
| 3077F |
|
14 |
12 |
$0.00 |
| 90710 |
|
13 |
12 |
$0.00 |