| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,542 |
19,298 |
$128K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,221 |
3,189 |
$97K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,547 |
2,523 |
$79K |
| 92551 |
|
7,342 |
7,340 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,046 |
1,033 |
$38K |
| 99462 |
|
817 |
418 |
$22K |
| 99460 |
|
400 |
400 |
$20K |
| 90686 |
|
2,916 |
2,913 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,100 |
3,621 |
$15K |
| 85018 |
|
10,425 |
10,358 |
$11K |
| 90651 |
|
954 |
954 |
$10K |
| 99000 |
|
5,277 |
5,274 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,133 |
1,126 |
$6K |
| 92552 |
|
465 |
465 |
$5K |
| 99383 |
|
49 |
32 |
$5K |
| 81000 |
|
2,459 |
2,458 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
41 |
41 |
$3K |
| 99384 |
|
29 |
15 |
$3K |
| 0071A |
|
65 |
65 |
$3K |
| 0072A |
|
55 |
55 |
$2K |
| 99173 |
|
4,087 |
4,085 |
$2K |
| 99401 |
|
105 |
103 |
$2K |
| 90633 |
|
242 |
241 |
$2K |
| 90734 |
|
372 |
372 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
36 |
13 |
$2K |
| 90716 |
|
217 |
217 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
14 |
14 |
$1K |
| 81002 |
|
3,361 |
3,359 |
$914.37 |
| 99188 |
|
160 |
159 |
$721.80 |
| 3078F |
|
741 |
741 |
$718.00 |
| 3074F |
|
718 |
718 |
$697.00 |
| 90648 |
|
96 |
96 |
$639.00 |
| 90670 |
|
97 |
96 |
$621.00 |
| 90707 |
|
91 |
91 |
$619.00 |
| 90685 |
|
66 |
65 |
$531.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$461.93 |
| 0001A |
|
13 |
12 |
$440.00 |
| 90715 |
|
81 |
81 |
$405.00 |
| 90744 |
|
31 |
31 |
$279.00 |
| 90723 |
|
40 |
40 |
$259.00 |
| 90713 |
|
27 |
27 |
$234.00 |
| 90658 |
|
56 |
56 |
$207.00 |
| 90620 |
|
67 |
67 |
$171.00 |
| 86580 |
|
45 |
45 |
$146.56 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
40 |
$128.87 |
| 81003 |
|
85 |
85 |
$94.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
507 |
485 |
$60.98 |
| 90461 |
|
651 |
650 |
$16.16 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
63 |
63 |
$0.00 |