| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,065 |
38,956 |
$3.28M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,567 |
9,565 |
$1.09M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,230 |
3,157 |
$301K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,188 |
3,125 |
$297K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,655 |
11,479 |
$280K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,190 |
3,057 |
$271K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,570 |
2,555 |
$270K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,724 |
4,418 |
$82K |
| 90461 |
|
4,890 |
4,696 |
$71K |
| 92587 |
|
6,123 |
4,863 |
$50K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,764 |
6,609 |
$41K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
359 |
359 |
$39K |
| 92558 |
|
3,514 |
3,500 |
$33K |
| 96127 |
|
7,350 |
7,185 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
551 |
538 |
$24K |
| 99381 |
|
160 |
143 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
510 |
348 |
$10K |
| 36406 |
|
871 |
840 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
613 |
595 |
$8K |
| 90734 |
|
297 |
290 |
$7K |
| 99401 |
|
538 |
505 |
$6K |
| 99177 |
|
4,725 |
4,668 |
$6K |
| 99215 |
Prolong outpt/office vis |
39 |
38 |
$5K |
| 90686 |
|
1,767 |
1,155 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
50 |
47 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
95 |
90 |
$5K |
| 96160 |
|
2,868 |
2,834 |
$5K |
| 99441 |
|
95 |
90 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
340 |
340 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
93 |
67 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,255 |
1,560 |
$4K |
| 90670 |
|
1,234 |
1,092 |
$4K |
| 90651 |
|
1,125 |
621 |
$3K |
| 97802 |
|
5,761 |
5,641 |
$3K |
| 99442 |
|
72 |
68 |
$3K |
| 90716 |
|
933 |
599 |
$2K |
| 90649 |
|
16 |
16 |
$2K |
| 85018 |
|
1,390 |
1,101 |
$2K |
| 81000 |
|
413 |
408 |
$1K |
| 0001A |
|
34 |
34 |
$1K |
| 69210 |
|
31 |
31 |
$1K |
| 86580 |
|
135 |
131 |
$1K |
| 90620 |
|
261 |
150 |
$1K |
| 90700 |
|
1,780 |
1,406 |
$862.37 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
40 |
40 |
$770.50 |
| 90633 |
|
863 |
600 |
$738.67 |
| 90707 |
|
953 |
611 |
$700.00 |
| 90681 |
|
815 |
771 |
$685.66 |
| 90713 |
|
1,489 |
1,188 |
$658.10 |
| 90715 |
|
451 |
250 |
$415.42 |
| 99173 |
|
6,637 |
4,219 |
$312.34 |
| 90648 |
|
1,234 |
1,097 |
$259.06 |
| 99051 |
|
1,694 |
1,631 |
$235.00 |
| 90658 |
|
35 |
35 |
$230.56 |
| 94664 |
|
15 |
15 |
$228.80 |
| 90657 |
|
261 |
201 |
$138.97 |
| 92015 |
Determination of refractive state |
484 |
264 |
$124.30 |
| 90744 |
|
686 |
612 |
$112.04 |
| 99000 |
|
939 |
930 |
$39.30 |
| 83655 |
|
61 |
58 |
$30.00 |
| G0008 |
Administration of influenza virus vaccine |
89 |
89 |
$0.00 |
| 91300 |
|
41 |
41 |
$0.00 |