| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,679 |
7,568 |
$692K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,380 |
9,550 |
$686K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,376 |
8,318 |
$633K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,645 |
9,448 |
$601K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,066 |
8,021 |
$594K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
35,070 |
22,618 |
$429K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,493 |
4,454 |
$373K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13,601 |
13,206 |
$187K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,294 |
4,196 |
$172K |
| 92081 |
|
8,014 |
7,939 |
$137K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,983 |
11,827 |
$114K |
| 92551 |
|
15,648 |
15,545 |
$106K |
| D0190 |
|
5,171 |
5,136 |
$81K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19,241 |
19,025 |
$75K |
| 99221 |
|
1,099 |
1,092 |
$61K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,521 |
1,501 |
$61K |
| 90747 |
|
3,015 |
2,999 |
$44K |
| 99381 |
|
522 |
516 |
$42K |
| D1206 |
Topical application of fluoride varnish |
3,921 |
3,883 |
$34K |
| 99407 |
|
2,652 |
2,597 |
$24K |
| 97803 |
|
10,799 |
10,710 |
$23K |
| 99222 |
Initial hospital care, per day, moderate complexity |
238 |
238 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
220 |
214 |
$18K |
| 99401 |
|
12,221 |
12,136 |
$16K |
| 86580 |
|
3,027 |
3,013 |
$15K |
| 97802 |
|
6,484 |
6,462 |
$14K |
| 95012 |
|
1,223 |
1,194 |
$13K |
| 83655 |
|
1,457 |
1,456 |
$10K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
443 |
361 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
567 |
537 |
$8K |
| 96127 |
|
2,689 |
2,648 |
$8K |
| 0071A |
|
190 |
190 |
$7K |
| 90658 |
|
6,635 |
6,575 |
$6K |
| 99383 |
|
55 |
55 |
$5K |
| 99402 |
|
527 |
520 |
$4K |
| 0072A |
|
99 |
98 |
$4K |
| 90716 |
|
1,476 |
1,466 |
$3K |
| 90733 |
|
1,020 |
1,012 |
$3K |
| 0053A |
|
74 |
74 |
$3K |
| 90620 |
|
503 |
495 |
$2K |
| 99382 |
|
26 |
26 |
$2K |
| 90480 |
|
39 |
39 |
$2K |
| 0051A |
|
47 |
47 |
$2K |
| 0073A |
|
50 |
50 |
$1K |
| 99215 |
Prolong outpt/office vis |
23 |
17 |
$1K |
| 90677 |
|
74 |
74 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
99 |
92 |
$1K |
| 99406 |
|
290 |
290 |
$846.21 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$786.34 |
| 99174 |
|
519 |
519 |
$757.92 |
| S9451 |
Exercise classes, non-physician provider, per session |
13,114 |
13,005 |
$595.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14 |
13 |
$565.74 |
| 0011A |
|
73 |
72 |
$530.26 |
| 0052A |
|
14 |
14 |
$495.30 |
| 90715 |
|
1,018 |
1,013 |
$489.60 |
| 0081A |
|
14 |
14 |
$420.52 |
| 90657 |
|
3,074 |
3,041 |
$403.34 |
| 90734 |
|
365 |
362 |
$375.00 |
| 90651 |
|
2,406 |
2,380 |
$375.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
28 |
$273.83 |
| 90660 |
|
1,362 |
1,361 |
$237.74 |
| 99441 |
|
29 |
29 |
$200.17 |
| 90670 |
|
5,738 |
5,699 |
$135.00 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
929 |
882 |
$17.16 |
| 91307 |
|
398 |
380 |
$5.97 |
| 90633 |
|
3,048 |
3,019 |
$0.00 |
| 90710 |
|
1,217 |
1,214 |
$0.00 |
| 90681 |
|
2,687 |
2,675 |
$0.00 |
| 90707 |
|
1,392 |
1,381 |
$0.00 |
| A4617 |
Mouth piece |
472 |
471 |
$0.00 |
| 91308 |
|
32 |
27 |
$0.00 |
| 99173 |
|
770 |
770 |
$0.00 |
| 90700 |
|
185 |
182 |
$0.00 |
| 90723 |
|
3,444 |
3,428 |
$0.00 |
| 90647 |
|
1,122 |
1,120 |
$0.00 |
| 90698 |
|
1,988 |
1,977 |
$0.00 |
| 91305 |
|
242 |
235 |
$0.00 |
| 94780 |
|
71 |
58 |
$0.00 |
| 90744 |
|
16 |
16 |
$0.00 |
| 99403 |
|
19 |
19 |
$0.00 |
| 91301 |
|
118 |
113 |
$0.00 |