| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,171 |
33,945 |
$1.33M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,336 |
9,465 |
$772K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,907 |
8,636 |
$711K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,284 |
9,006 |
$708K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,686 |
5,498 |
$477K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
47,306 |
17,829 |
$471K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,839 |
11,965 |
$305K |
| 99460 |
|
3,386 |
3,263 |
$258K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
4,281 |
4,111 |
$246K |
| 99429 |
|
7,555 |
7,346 |
$238K |
| 99464 |
|
2,394 |
2,282 |
$202K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,168 |
1,086 |
$115K |
| 99468 |
|
136 |
124 |
$108K |
| 99235 |
|
711 |
678 |
$107K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,732 |
1,029 |
$81K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,204 |
6,477 |
$73K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
205 |
110 |
$68K |
| 99462 |
|
1,795 |
1,683 |
$66K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
866 |
798 |
$64K |
| 90461 |
|
13,090 |
10,887 |
$59K |
| 99050 |
|
3,585 |
3,422 |
$51K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,685 |
3,549 |
$49K |
| S9470 |
Nutritional counseling, dietitian visit |
15,498 |
15,098 |
$39K |
| 99441 |
|
1,244 |
1,125 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
480 |
458 |
$24K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,039 |
1,918 |
$23K |
| 92551 |
|
7,109 |
6,897 |
$18K |
| 0072A |
|
395 |
382 |
$18K |
| 0071A |
|
445 |
434 |
$17K |
| 90677 |
|
1,501 |
1,448 |
$17K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
105 |
26 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
176 |
163 |
$12K |
| 99000 |
|
1,309 |
1,240 |
$12K |
| 96160 |
|
5,900 |
5,725 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
801 |
747 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
842 |
399 |
$11K |
| 86580 |
|
2,004 |
1,253 |
$9K |
| 90619 |
|
811 |
778 |
$6K |
| 90651 |
|
2,449 |
2,366 |
$6K |
| 90620 |
|
1,067 |
1,019 |
$5K |
| 54150 |
|
41 |
38 |
$3K |
| 0001A |
|
65 |
63 |
$2K |
| 99383 |
|
27 |
27 |
$2K |
| 0002A |
|
52 |
52 |
$2K |
| 97169 |
|
82 |
72 |
$2K |
| 83655 |
|
2,679 |
2,611 |
$1K |
| 90686 |
|
3,489 |
3,408 |
$1K |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
8,648 |
8,397 |
$750.26 |
| 99442 |
|
21 |
21 |
$737.80 |
| 0003A |
|
16 |
14 |
$520.00 |
| 0004A |
|
12 |
12 |
$488.00 |
| 90734 |
|
1,189 |
1,143 |
$140.29 |
| 90715 |
|
1,030 |
994 |
$34.68 |
| 99173 |
|
9,978 |
9,601 |
$17.50 |
| 85018 |
|
12 |
12 |
$1.99 |
| S9451 |
Exercise classes, non-physician provider, per session |
15,743 |
15,272 |
$0.01 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
1,299 |
1,231 |
$0.01 |
| S9449 |
Weight management classes, non-physician provider, per session |
15,767 |
15,292 |
$0.01 |
| 90723 |
|
3,415 |
3,312 |
$0.00 |
| 90680 |
|
4,749 |
4,601 |
$0.00 |
| 2001F |
|
2,828 |
2,744 |
$0.00 |
| 90716 |
|
3,080 |
2,992 |
$0.00 |
| 90698 |
|
1,659 |
1,608 |
$0.00 |
| 90696 |
|
1,129 |
1,084 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27,243 |
26,349 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
1,289 |
1,218 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
800 |
760 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
8,425 |
8,180 |
$0.00 |
| 36416 |
|
272 |
255 |
$0.00 |
| 90656 |
|
221 |
207 |
$0.00 |
| 90744 |
|
32 |
32 |
$0.00 |
| 90648 |
|
4,900 |
4,766 |
$0.00 |
| 90670 |
|
5,292 |
5,139 |
$0.00 |
| 90633 |
|
3,425 |
3,310 |
$0.00 |
| 3210F |
|
2,791 |
2,712 |
$0.00 |
| 90700 |
|
1,171 |
1,126 |
$0.00 |
| 90707 |
|
3,065 |
2,982 |
$0.00 |
| 4120F |
|
105 |
103 |
$0.00 |