| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55,686 |
51,003 |
$6.01M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60,827 |
56,838 |
$4.65M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,549 |
2,541 |
$286K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,170 |
2,169 |
$232K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,949 |
7,840 |
$220K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,540 |
1,539 |
$149K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
985 |
984 |
$149K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,364 |
1,362 |
$145K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,070 |
1,069 |
$109K |
| 99215 |
Prolong outpt/office vis |
678 |
657 |
$105K |
| 96127 |
|
18,097 |
17,550 |
$104K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,201 |
2,075 |
$102K |
| 99406 |
|
7,642 |
7,081 |
$96K |
| 92551 |
|
9,408 |
9,398 |
$77K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
7,782 |
7,412 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
627 |
627 |
$61K |
| 90686 |
|
4,802 |
4,774 |
$60K |
| 99051 |
|
9,112 |
7,923 |
$58K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,077 |
2,631 |
$51K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,957 |
3,931 |
$46K |
| 93000 |
|
2,907 |
2,898 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
356 |
334 |
$32K |
| 90732 |
|
241 |
240 |
$28K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,038 |
2,032 |
$19K |
| 90651 |
|
191 |
191 |
$12K |
| 99383 |
|
87 |
87 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
634 |
634 |
$7K |
| 90682 |
|
84 |
84 |
$5K |
| 99384 |
|
30 |
30 |
$4K |
| 90673 |
|
41 |
41 |
$3K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
491 |
446 |
$3K |
| 99173 |
|
5,441 |
5,429 |
$2K |
| 0072A |
|
65 |
65 |
$2K |
| 0071A |
|
54 |
54 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
691 |
611 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
141 |
140 |
$1K |
| 81002 |
|
451 |
448 |
$1K |
| 90713 |
|
36 |
36 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
17 |
$1K |
| 99490 |
Ccm add 20min |
23 |
23 |
$1K |
| 0031A |
|
29 |
29 |
$1K |
| 92250 |
|
45 |
44 |
$823.56 |
| 90688 |
|
57 |
57 |
$543.15 |
| 81025 |
|
71 |
71 |
$418.84 |
| 99442 |
|
13 |
12 |
$343.16 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$326.57 |
| 90656 |
|
109 |
109 |
$253.21 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
14 |
$147.86 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
34 |
25 |
$0.20 |
| 90671 |
|
15 |
15 |
$0.05 |
| 90672 |
|
61 |
61 |
$0.00 |
| 90685 |
|
221 |
221 |
$0.00 |
| 90633 |
|
98 |
98 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |
| 90670 |
|
42 |
42 |
$0.00 |
| 90621 |
|
44 |
44 |
$0.00 |
| 90461 |
|
33 |
33 |
$0.00 |
| 90734 |
|
27 |
27 |
$0.00 |
| 99177 |
|
40 |
40 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
952 |
941 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
2,855 |
2,798 |
$0.00 |
| 99058 |
|
3,807 |
3,639 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
786 |
785 |
$0.00 |
| 1111F |
|
59 |
58 |
$0.00 |
| 90619 |
|
48 |
48 |
$0.00 |
| 91307 |
|
112 |
103 |
$0.00 |
| 91303 |
|
23 |
23 |
$0.00 |
| 90674 |
|
22 |
21 |
$0.00 |