| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,314 |
21,885 |
$1.13M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,883 |
3,511 |
$141K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,147 |
1,093 |
$72K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,094 |
987 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
566 |
554 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,125 |
4,851 |
$26K |
| 99215 |
Prolong outpt/office vis |
512 |
441 |
$24K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,270 |
2,164 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
177 |
173 |
$11K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
46 |
41 |
$2K |
| 90686 |
|
2,314 |
2,191 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
56 |
24 |
$2K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
28 |
12 |
$965.95 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
213 |
198 |
$924.89 |
| 92558 |
|
51 |
51 |
$766.50 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
50 |
13 |
$442.51 |
| 90461 |
|
29 |
26 |
$335.30 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$290.19 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
40 |
40 |
$262.40 |
| 92551 |
|
46 |
46 |
$241.12 |
| 99177 |
|
12 |
12 |
$156.53 |
| 90474 |
|
47 |
47 |
$147.78 |
| 90670 |
|
646 |
593 |
$142.95 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
20 |
18 |
$120.35 |
| 94729 |
|
30 |
28 |
$93.61 |
| 94060 |
|
15 |
14 |
$81.44 |
| 94726 |
|
16 |
15 |
$75.54 |
| 96161 |
|
51 |
49 |
$39.66 |
| 90685 |
|
38 |
35 |
$0.00 |
| 90633 |
|
251 |
238 |
$0.00 |
| 90648 |
|
47 |
41 |
$0.00 |
| 90681 |
|
61 |
61 |
$0.00 |
| 90698 |
|
450 |
419 |
$0.00 |
| 90697 |
|
27 |
27 |
$0.00 |
| 90744 |
|
100 |
95 |
$0.00 |
| 90723 |
|
29 |
24 |
$0.00 |