| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,175 |
9,710 |
$546K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,649 |
3,947 |
$295K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,033 |
6,012 |
$179K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,357 |
2,217 |
$158K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,983 |
2,221 |
$153K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,074 |
1,974 |
$138K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,487 |
1,415 |
$109K |
| 99307 |
|
4,418 |
1,890 |
$88K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,519 |
5,813 |
$83K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,104 |
1,798 |
$65K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,427 |
3,172 |
$55K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,660 |
1,251 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,264 |
1,868 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,367 |
558 |
$15K |
| 90474 |
|
963 |
868 |
$8K |
| 99462 |
|
362 |
136 |
$6K |
| 90473 |
|
730 |
590 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
105 |
80 |
$5K |
| 99460 |
|
160 |
117 |
$5K |
| 0071A |
|
92 |
81 |
$4K |
| 92551 |
|
388 |
361 |
$3K |
| 0072A |
|
56 |
56 |
$3K |
| 0001A |
|
98 |
73 |
$2K |
| 0002A |
|
57 |
53 |
$2K |
| 90686 |
|
2,035 |
1,814 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
31 |
29 |
$2K |
| 90677 |
|
105 |
91 |
$1K |
| 90672 |
|
886 |
747 |
$1K |
| 90651 |
|
210 |
197 |
$1K |
| 90670 |
|
1,483 |
1,306 |
$1K |
| 90621 |
|
52 |
43 |
$999.15 |
| 96161 |
|
155 |
124 |
$867.19 |
| 99173 |
|
388 |
361 |
$694.46 |
| 90656 |
|
87 |
86 |
$462.30 |
| 90480 |
|
26 |
18 |
$295.80 |
| 0013A |
|
16 |
13 |
$259.56 |
| 87807 |
|
34 |
18 |
$225.52 |
| 90660 |
|
143 |
106 |
$173.22 |
| 90620 |
|
13 |
13 |
$150.00 |
| 90734 |
|
124 |
112 |
$133.90 |
| 90715 |
|
30 |
24 |
$129.36 |
| 90698 |
|
1,595 |
1,401 |
$108.07 |
| 90688 |
|
67 |
47 |
$92.69 |
| 99441 |
|
18 |
12 |
$62.56 |
| 90633 |
|
661 |
598 |
$1.17 |
| 91320 |
|
18 |
18 |
$0.02 |
| 90716 |
|
341 |
301 |
$0.00 |
| 90680 |
|
691 |
603 |
$0.00 |
| 90744 |
|
510 |
450 |
$0.00 |
| 91307 |
|
189 |
145 |
$0.00 |
| 90619 |
|
71 |
57 |
$0.00 |
| 91301 |
|
16 |
13 |
$0.00 |
| 90707 |
|
321 |
281 |
$0.00 |
| 90685 |
|
304 |
275 |
$0.00 |
| 91300 |
|
219 |
168 |
$0.00 |
| 90713 |
|
26 |
26 |
$0.00 |
| 90700 |
|
43 |
42 |
$0.00 |