| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,666 |
33,894 |
$529K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16,246 |
15,799 |
$439K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56,878 |
53,101 |
$378K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,521 |
9,211 |
$367K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12,631 |
12,393 |
$344K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13,874 |
13,437 |
$343K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
50,032 |
48,895 |
$201K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,885 |
2,834 |
$197K |
| 99381 |
|
3,010 |
2,944 |
$192K |
| 40819 |
|
616 |
616 |
$71K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,970 |
9,675 |
$64K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,900 |
2,873 |
$53K |
| 99223 |
Prolong inpt eval add15 m |
2,233 |
2,202 |
$51K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,807 |
1,796 |
$50K |
| 97802 |
|
45,356 |
44,568 |
$34K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,029 |
2,007 |
$31K |
| 99383 |
|
1,357 |
1,321 |
$30K |
| 90647 |
|
8,472 |
8,235 |
$22K |
| 92552 |
|
34,900 |
34,585 |
$22K |
| 90723 |
|
8,175 |
8,004 |
$22K |
| 90686 |
|
19,353 |
19,089 |
$21K |
| 92557 |
|
1,239 |
1,021 |
$20K |
| 90680 |
|
7,058 |
6,904 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,098 |
3,059 |
$20K |
| 99173 |
|
15,847 |
15,484 |
$19K |
| 90670 |
|
8,976 |
8,738 |
$19K |
| 99384 |
|
611 |
598 |
$12K |
| 99382 |
|
617 |
600 |
$10K |
| 85018 |
|
23,829 |
23,303 |
$9K |
| 90651 |
|
5,762 |
5,681 |
$5K |
| 90677 |
|
1,479 |
1,464 |
$5K |
| 90619 |
|
1,731 |
1,731 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
33,461 |
33,088 |
$4K |
| 99401 |
|
34,195 |
33,712 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
424 |
419 |
$4K |
| 90633 |
|
5,564 |
5,420 |
$4K |
| 90716 |
|
5,735 |
5,619 |
$3K |
| 90700 |
|
5,238 |
5,084 |
$3K |
| 90688 |
|
2,900 |
2,753 |
$3K |
| 90707 |
|
5,355 |
5,236 |
$3K |
| 90621 |
|
4,148 |
4,087 |
$3K |
| 86580 |
|
4,746 |
4,549 |
$3K |
| 41010 |
|
138 |
138 |
$2K |
| 90734 |
|
3,477 |
3,390 |
$2K |
| 90685 |
|
532 |
482 |
$2K |
| 90648 |
|
1,037 |
1,022 |
$2K |
| 90715 |
|
3,193 |
3,114 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
971 |
928 |
$2K |
| 81000 |
|
4,312 |
4,247 |
$2K |
| 90713 |
|
2,842 |
2,763 |
$2K |
| 99188 |
|
606 |
579 |
$2K |
| 99215 |
Prolong outpt/office vis |
55 |
54 |
$1K |
| 92499 |
|
629 |
435 |
$1K |
| 0072A |
|
55 |
50 |
$880.00 |
| 99072 |
|
7,801 |
7,403 |
$766.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
72 |
42 |
$727.85 |
| 0154A |
|
17 |
17 |
$680.00 |
| 81005 |
|
8,400 |
8,188 |
$556.51 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
573 |
484 |
$342.00 |
| 0071A |
|
49 |
42 |
$320.00 |
| 83026 |
|
85 |
85 |
$249.83 |
| 90656 |
|
863 |
863 |
$249.15 |
| 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) |
3,027 |
2,797 |
$233.34 |
| 92551 |
|
110 |
110 |
$199.80 |
| D1206 |
Topical application of fluoride varnish |
98 |
78 |
$196.38 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
43 |
41 |
$189.02 |
| 81003 |
|
71 |
71 |
$51.15 |
| 90710 |
|
24 |
24 |
$46.35 |
| 90461 |
|
328 |
258 |
$0.00 |
| 91300 |
|
40 |
38 |
$0.00 |
| 90658 |
|
41 |
41 |
$0.00 |
| 99172 |
|
17,832 |
17,830 |
$0.00 |
| 99174 |
|
905 |
905 |
$0.00 |
| 91307 |
|
93 |
85 |
$0.00 |
| 99441 |
|
42 |
41 |
$0.00 |