| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,252 |
16,010 |
$1.03M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,624 |
15,652 |
$519K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,497 |
5,623 |
$346K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,001 |
3,888 |
$274K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,381 |
3,914 |
$244K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,349 |
1,332 |
$89K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
650 |
642 |
$43K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
364 |
355 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
652 |
646 |
$36K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,148 |
8,562 |
$34K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
185 |
169 |
$23K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
121 |
112 |
$13K |
| 90670 |
|
2,898 |
2,659 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
145 |
139 |
$8K |
| 91320 |
|
138 |
134 |
$7K |
| 99215 |
Prolong outpt/office vis |
51 |
51 |
$5K |
| 90677 |
|
812 |
806 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,429 |
901 |
$4K |
| 99460 |
|
52 |
52 |
$4K |
| 90686 |
|
5,790 |
5,507 |
$3K |
| 90480 |
|
335 |
329 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
70 |
$3K |
| 0124A |
|
95 |
63 |
$3K |
| 0071A |
|
111 |
76 |
$2K |
| 95117 |
|
303 |
172 |
$2K |
| 97803 |
|
41 |
41 |
$2K |
| 90656 |
|
485 |
480 |
$2K |
| 90723 |
|
2,119 |
1,986 |
$2K |
| 90680 |
|
1,725 |
1,621 |
$1K |
| 90474 |
|
1,622 |
1,525 |
$1K |
| 83655 |
|
349 |
341 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
91 |
88 |
$1K |
| 90651 |
|
424 |
414 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
173 |
169 |
$1K |
| 87428 |
|
26 |
26 |
$1K |
| 0072A |
|
38 |
20 |
$806.40 |
| 81003 |
|
340 |
320 |
$710.71 |
| 96127 |
|
15 |
15 |
$706.60 |
| 99188 |
|
27 |
25 |
$704.08 |
| 0001A |
|
38 |
28 |
$675.98 |
| 90647 |
|
1,921 |
1,800 |
$547.36 |
| 90473 |
|
39 |
39 |
$337.21 |
| 90715 |
|
123 |
120 |
$290.09 |
| 85018 |
|
285 |
277 |
$210.33 |
| 90633 |
|
686 |
676 |
$201.44 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$199.72 |
| 91307 |
|
147 |
105 |
$177.44 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
124 |
120 |
$176.35 |
| 36416 |
|
71 |
68 |
$174.54 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
12 |
$161.69 |
| 92567 |
|
44 |
37 |
$151.08 |
| 91318 |
|
28 |
28 |
$150.80 |
| 91319 |
|
20 |
20 |
$0.09 |
| 90672 |
|
26 |
26 |
$0.00 |
| 90710 |
|
184 |
180 |
$0.00 |
| 90707 |
|
170 |
169 |
$0.00 |
| 90734 |
|
212 |
208 |
$0.00 |
| 90700 |
|
107 |
106 |
$0.00 |
| 96381 |
|
34 |
34 |
$0.00 |
| 90696 |
|
186 |
182 |
$0.00 |
| 90716 |
|
182 |
180 |
$0.00 |
| 90381 |
|
29 |
29 |
$0.00 |