| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,241 |
3,950 |
$225K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,985 |
5,413 |
$186K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,555 |
2,221 |
$139K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,511 |
2,318 |
$132K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,024 |
901 |
$52K |
| 90648 |
|
3,674 |
3,528 |
$42K |
| 90670 |
|
3,610 |
3,459 |
$38K |
| 90723 |
|
3,120 |
2,991 |
$33K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
680 |
478 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,091 |
965 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
411 |
344 |
$20K |
| 90681 |
|
1,475 |
1,418 |
$16K |
| 99460 |
|
260 |
200 |
$15K |
| 90633 |
|
1,184 |
1,105 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,143 |
992 |
$12K |
| 90686 |
|
828 |
695 |
$10K |
| 90707 |
|
819 |
764 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
755 |
566 |
$9K |
| 90716 |
|
815 |
759 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
125 |
109 |
$3K |
| 90734 |
|
142 |
117 |
$2K |
| 87807 |
|
144 |
136 |
$2K |
| 90688 |
|
154 |
142 |
$2K |
| 83655 |
|
93 |
77 |
$1K |
| 99188 |
|
79 |
68 |
$1K |
| 99384 |
|
15 |
14 |
$789.74 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$768.80 |
| 99383 |
|
21 |
12 |
$681.99 |
| 90715 |
|
40 |
28 |
$584.80 |
| 90700 |
|
41 |
40 |
$458.76 |
| 85018 |
|
132 |
111 |
$348.14 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
25 |
25 |
$278.16 |
| 88720 |
|
42 |
24 |
$234.56 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
38 |
32 |
$212.40 |
| 90696 |
|
12 |
12 |
$114.72 |