| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,093 |
15,589 |
$947K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,348 |
5,257 |
$230K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,655 |
2,521 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
997 |
989 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
809 |
800 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
676 |
665 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
563 |
531 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
344 |
337 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,587 |
1,544 |
$22K |
| 90461 |
|
791 |
753 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
680 |
624 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
198 |
198 |
$15K |
| 92551 |
|
1,249 |
1,248 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
4,200 |
3,976 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
148 |
146 |
$9K |
| 90688 |
|
394 |
392 |
$6K |
| 99173 |
|
1,447 |
1,441 |
$6K |
| 99441 |
|
320 |
244 |
$5K |
| J1720 |
Injection, hydrocortisone sodium succinate, up to 100 mg |
489 |
482 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
505 |
252 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
649 |
631 |
$5K |
| 99402 |
|
140 |
132 |
$5K |
| 3008F |
|
901 |
789 |
$4K |
| 86580 |
|
900 |
873 |
$4K |
| 99401 |
|
162 |
157 |
$3K |
| 90686 |
|
480 |
473 |
$3K |
| 99442 |
|
113 |
106 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
37 |
$2K |
| 92552 |
|
186 |
186 |
$2K |
| 99000 |
|
6,397 |
5,994 |
$2K |
| 90734 |
|
12 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
75 |
75 |
$1K |
| 99385 |
|
13 |
13 |
$886.52 |
| 90670 |
|
26 |
26 |
$580.05 |
| 90674 |
|
30 |
30 |
$527.68 |
| 99188 |
|
24 |
23 |
$445.00 |
| 36416 |
|
1,285 |
1,221 |
$384.43 |
| 93000 |
|
14 |
14 |
$182.16 |
| 99490 |
Ccm add 20min |
13 |
13 |
$130.85 |
| 90715 |
|
13 |
12 |
$100.96 |
| 81000 |
|
43 |
43 |
$62.46 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
27 |
27 |
$60.83 |
| 90700 |
|
17 |
12 |
$30.73 |
| 99072 |
|
584 |
487 |
$17.50 |