| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,103 |
28,560 |
$1.45M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,766 |
8,873 |
$637K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,757 |
12,315 |
$248K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,835 |
2,830 |
$224K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,626 |
2,586 |
$206K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,730 |
1,725 |
$147K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,078 |
1,034 |
$76K |
| 90461 |
|
3,390 |
3,314 |
$50K |
| 92587 |
|
3,420 |
3,413 |
$47K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,766 |
5,673 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,981 |
2,944 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,095 |
3,967 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,148 |
1,086 |
$30K |
| 90686 |
|
1,030 |
1,030 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
187 |
187 |
$11K |
| 97802 |
|
3,756 |
3,750 |
$10K |
| 96127 |
|
2,995 |
2,985 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
987 |
510 |
$9K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
62 |
62 |
$8K |
| 3008F |
|
8,267 |
7,836 |
$6K |
| 99307 |
|
659 |
608 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
773 |
663 |
$6K |
| 99215 |
Prolong outpt/office vis |
48 |
43 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
281 |
267 |
$3K |
| 92558 |
|
455 |
455 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
86 |
62 |
$3K |
| 92552 |
|
152 |
149 |
$3K |
| 97803 |
|
2,377 |
2,372 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
214 |
213 |
$3K |
| 85018 |
|
1,372 |
1,371 |
$3K |
| 99336 |
|
169 |
167 |
$2K |
| 94667 |
|
116 |
111 |
$2K |
| 99401 |
|
187 |
187 |
$1K |
| 93000 |
|
116 |
116 |
$1K |
| 99173 |
|
1,078 |
1,078 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
16 |
16 |
$1K |
| 92567 |
|
123 |
121 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
109 |
102 |
$791.87 |
| 99305 |
|
27 |
27 |
$674.65 |
| 81002 |
|
1,420 |
1,408 |
$671.66 |
| 92568 |
|
76 |
76 |
$670.06 |
| 99233 |
Prolong inpt eval add15 m |
12 |
12 |
$458.20 |
| 96160 |
|
296 |
296 |
$446.27 |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
15 |
$426.92 |
| 99337 |
|
33 |
32 |
$403.34 |
| 99442 |
|
23 |
21 |
$388.12 |
| 90658 |
|
62 |
62 |
$323.30 |
| 92588 |
|
16 |
16 |
$274.85 |
| 11721 |
|
28 |
28 |
$190.80 |
| 81000 |
|
53 |
53 |
$111.77 |
| 36416 |
|
18 |
17 |
$95.52 |
| 99348 |
|
86 |
85 |
$81.25 |
| 99174 |
|
12 |
12 |
$64.71 |
| 81003 |
|
172 |
171 |
$55.56 |
| 90688 |
|
14 |
13 |
$34.52 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
962 |
962 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
707 |
706 |
$0.00 |
| 99000 |
|
145 |
134 |
$0.00 |
| 99335 |
|
16 |
16 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
19 |
13 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
25 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
782 |
602 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
205 |
205 |
$0.00 |
| 99072 |
|
679 |
627 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
27 |
12 |
$0.00 |