| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55,048 |
47,053 |
$2.83M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,573 |
15,138 |
$1.16M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,754 |
4,460 |
$417K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,987 |
3,699 |
$322K |
| 99442 |
|
3,828 |
2,826 |
$192K |
| 99441 |
|
2,274 |
1,943 |
$75K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
667 |
613 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,396 |
1,285 |
$47K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,360 |
2,261 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,811 |
3,668 |
$42K |
| 90688 |
|
2,850 |
2,796 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
416 |
382 |
$29K |
| 99385 |
|
277 |
251 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
137 |
136 |
$11K |
| 93000 |
|
921 |
836 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
137 |
126 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
86 |
43 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
48 |
$6K |
| 99386 |
|
51 |
39 |
$5K |
| 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) |
1,196 |
1,056 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
57 |
54 |
$3K |
| 99215 |
Prolong outpt/office vis |
25 |
25 |
$3K |
| 90682 |
|
123 |
123 |
$3K |
| 99422 |
|
98 |
90 |
$3K |
| 90662 |
|
328 |
317 |
$2K |
| 90649 |
|
27 |
27 |
$2K |
| 90619 |
|
13 |
13 |
$2K |
| 99397 |
|
20 |
20 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
100 |
96 |
$728.62 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
77 |
76 |
$719.16 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
62 |
62 |
$684.92 |
| 90670 |
|
25 |
25 |
$500.44 |
| 90686 |
|
458 |
423 |
$442.80 |
| 90461 |
|
66 |
62 |
$426.71 |
| 3078F |
|
42,938 |
36,664 |
$250.53 |
| 3074F |
|
43,614 |
37,233 |
$240.62 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
17 |
$228.20 |
| G0008 |
Administration of influenza virus vaccine |
230 |
220 |
$154.31 |
| 1170F |
|
9,116 |
8,693 |
$131.43 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
19 |
19 |
$113.96 |
| 1126F |
|
6,161 |
5,802 |
$81.34 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
12 |
12 |
$73.56 |
| 86580 |
|
14 |
12 |
$69.81 |
| 96160 |
|
36 |
36 |
$62.49 |
| 2022F |
|
701 |
696 |
$42.00 |
| 3079F |
|
1,868 |
1,761 |
$24.27 |
| 3075F |
|
850 |
792 |
$20.14 |
| 81001 |
|
12 |
12 |
$19.50 |
| 1125F |
|
1,154 |
1,031 |
$17.54 |
| 1158F |
|
8,591 |
8,171 |
$16.11 |
| 1159F |
|
8,405 |
7,975 |
$12.05 |
| 3061F |
|
124 |
121 |
$12.00 |
| 1160F |
|
8,163 |
7,752 |
$11.05 |
| 3045F |
|
27 |
27 |
$5.00 |
| 3044F |
|
124 |
118 |
$4.00 |
| 3077F |
|
360 |
338 |
$2.00 |
| 3008F |
|
39,195 |
32,964 |
$1.00 |
| 2023F |
|
32 |
30 |
$1.00 |
| 0521F |
|
8,615 |
8,161 |
$0.00 |
| 1090F |
|
8,550 |
8,142 |
$0.00 |
| 3725F |
|
9,700 |
9,218 |
$0.00 |
| 0518F |
|
91 |
91 |
$0.00 |
| 3050F |
|
18 |
17 |
$0.00 |
| 1031F |
|
8,683 |
8,203 |
$0.00 |
| 1101F |
|
7,105 |
6,643 |
$0.00 |
| 2001F |
|
36,722 |
30,735 |
$0.00 |
| 1036F |
|
9,136 |
8,666 |
$0.00 |
| 3080F |
|
224 |
210 |
$0.00 |
| 4010F |
|
1,288 |
1,230 |
$0.00 |
| 3049F |
|
14 |
12 |
$0.00 |
| 87110 |
|
33 |
32 |
$0.00 |
| 1034F |
|
12 |
12 |
$0.00 |