| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,647 |
4,205 |
$323K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,010 |
2,725 |
$298K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,478 |
1,474 |
$122K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,615 |
1,556 |
$121K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,628 |
3,610 |
$100K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
862 |
862 |
$71K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
209 |
209 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
824 |
820 |
$10K |
| 92551 |
|
1,161 |
1,154 |
$8K |
| 99188 |
|
924 |
922 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
104 |
$5K |
| 99383 |
|
37 |
37 |
$3K |
| 99382 |
|
30 |
30 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
63 |
63 |
$3K |
| 96127 |
|
828 |
813 |
$2K |
| 0071A |
|
61 |
61 |
$2K |
| 99177 |
|
687 |
685 |
$2K |
| 90672 |
|
739 |
738 |
$2K |
| 0072A |
|
39 |
39 |
$1K |
| 99381 |
|
14 |
13 |
$1K |
| 0001A |
|
29 |
28 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$952.77 |
| 99460 |
|
14 |
14 |
$765.44 |
| 99174 |
|
172 |
172 |
$585.34 |
| 0081A |
|
16 |
16 |
$574.82 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
50 |
$566.77 |
| 96380 |
|
30 |
30 |
$527.73 |
| 0002A |
|
13 |
13 |
$492.05 |
| 0124A |
|
14 |
14 |
$381.03 |
| 90473 |
|
40 |
40 |
$270.64 |
| 90686 |
|
772 |
769 |
$0.00 |
| 91307 |
|
132 |
119 |
$0.00 |
| 90744 |
|
499 |
498 |
$0.00 |
| 90660 |
|
117 |
117 |
$0.00 |
| 90698 |
|
915 |
911 |
$0.00 |
| 90656 |
|
97 |
97 |
$0.00 |
| 90716 |
|
64 |
64 |
$0.00 |
| 90680 |
|
725 |
722 |
$0.00 |
| 90677 |
|
230 |
230 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |
| 90633 |
|
480 |
479 |
$0.00 |
| 90670 |
|
768 |
766 |
$0.00 |
| G9920 |
Screening performed and negative |
547 |
541 |
$0.00 |
| 90461 |
|
1,915 |
1,911 |
$0.00 |
| 90671 |
|
188 |
186 |
$0.00 |
| 91300 |
|
58 |
52 |
$0.00 |
| 99173 |
|
143 |
143 |
$0.00 |
| 99072 |
|
427 |
415 |
$0.00 |
| 91308 |
|
41 |
39 |
$0.00 |
| 90700 |
|
37 |
37 |
$0.00 |
| 90707 |
|
52 |
52 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90648 |
|
28 |
28 |
$0.00 |