| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,938 |
27,031 |
$1.60M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,533 |
11,061 |
$908K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,651 |
1,590 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
171 |
160 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
147 |
144 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,593 |
1,410 |
$17K |
| 90686 |
|
2,653 |
2,458 |
$13K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
74 |
66 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
40 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
369 |
155 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
166 |
156 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
64 |
42 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
136 |
126 |
$3K |
| 98927 |
|
110 |
105 |
$3K |
| 96127 |
|
125 |
107 |
$2K |
| 99252 |
|
51 |
51 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
53 |
40 |
$2K |
| 0054A |
|
94 |
53 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
97 |
80 |
$1K |
| 91322 |
|
28 |
27 |
$1K |
| 90480 |
|
67 |
65 |
$1K |
| 96161 |
|
120 |
112 |
$1K |
| 0124A |
|
56 |
53 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
28 |
25 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
12 |
$1K |
| 99251 |
|
28 |
27 |
$581.44 |
| 0001A |
|
13 |
12 |
$520.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
50 |
$474.26 |
| 99462 |
|
16 |
14 |
$373.06 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
13 |
12 |
$348.48 |
| 90682 |
|
12 |
12 |
$320.22 |
| 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) |
302 |
276 |
$225.40 |
| 90656 |
|
117 |
116 |
$111.75 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
25 |
$86.75 |
| 81003 |
|
40 |
26 |
$72.76 |
| G0008 |
Administration of influenza virus vaccine |
40 |
38 |
$0.00 |
| 91305 |
|
169 |
87 |
$0.00 |
| 85018 |
|
25 |
24 |
$0.00 |
| 90698 |
|
25 |
24 |
$0.00 |
| 90461 |
|
228 |
216 |
$0.00 |
| 91300 |
|
133 |
117 |
$0.00 |
| 91312 |
|
53 |
50 |
$0.00 |
| 90670 |
|
43 |
42 |
$0.00 |