| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,068 |
13,150 |
$804K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,890 |
4,604 |
$395K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,618 |
4,065 |
$246K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,979 |
8,416 |
$244K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,763 |
2,644 |
$189K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,628 |
1,607 |
$105K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
548 |
543 |
$33K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,507 |
5,129 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
471 |
448 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
57 |
$8K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
39 |
38 |
$7K |
| 99381 |
|
74 |
73 |
$6K |
| 87428 |
|
83 |
79 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,426 |
873 |
$4K |
| 99460 |
|
58 |
53 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
79 |
75 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
16 |
$2K |
| 90670 |
|
1,662 |
1,541 |
$1K |
| 90473 |
|
133 |
125 |
$919.39 |
| 90474 |
|
935 |
878 |
$718.05 |
| 90647 |
|
1,371 |
1,285 |
$673.59 |
| 83655 |
|
189 |
177 |
$624.27 |
| 90686 |
|
1,697 |
1,587 |
$591.59 |
| 90677 |
|
515 |
503 |
$331.96 |
| 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) |
113 |
104 |
$229.68 |
| 36416 |
|
93 |
86 |
$155.75 |
| 81003 |
|
60 |
57 |
$147.46 |
| 90656 |
|
117 |
111 |
$143.76 |
| 85018 |
|
138 |
134 |
$141.34 |
| 99177 |
|
460 |
447 |
$63.66 |
| 90672 |
|
105 |
99 |
$0.05 |
| 90660 |
|
33 |
32 |
$0.03 |
| 90707 |
|
112 |
108 |
$0.02 |
| 90723 |
|
1,418 |
1,336 |
$0.01 |
| 90680 |
|
1,034 |
979 |
$0.01 |
| 90716 |
|
105 |
101 |
$0.01 |
| 90651 |
|
117 |
113 |
$0.01 |
| 90734 |
|
58 |
57 |
$0.01 |
| 90715 |
|
13 |
13 |
$0.01 |
| 90696 |
|
50 |
47 |
$0.00 |
| 90633 |
|
544 |
512 |
$0.00 |
| 90710 |
|
62 |
60 |
$0.00 |
| 90700 |
|
58 |
54 |
$0.00 |