| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,447 |
6,155 |
$351K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,568 |
3,445 |
$244K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,169 |
1,146 |
$132K |
| 99233 |
Prolong inpt eval add15 m |
1,823 |
803 |
$112K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,075 |
1,005 |
$94K |
| 99223 |
Prolong inpt eval add15 m |
495 |
489 |
$72K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
690 |
690 |
$57K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
776 |
470 |
$47K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
687 |
666 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
409 |
409 |
$38K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,117 |
1,111 |
$36K |
| 97597 |
|
1,318 |
688 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,638 |
1,626 |
$30K |
| 99443 |
|
448 |
408 |
$25K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
646 |
360 |
$23K |
| 99442 |
|
373 |
368 |
$16K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
619 |
562 |
$14K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
350 |
157 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
92 |
92 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
101 |
101 |
$9K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
55 |
55 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
97 |
95 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
51 |
51 |
$6K |
| 97598 |
|
56 |
26 |
$5K |
| 90474 |
|
283 |
283 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
102 |
101 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
130 |
126 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
77 |
77 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
83 |
82 |
$3K |
| 99383 |
|
18 |
18 |
$2K |
| 99460 |
|
20 |
20 |
$2K |
| 99441 |
|
89 |
89 |
$1K |
| 73562 |
|
27 |
26 |
$750.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
50 |
50 |
$714.67 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
24 |
$192.96 |
| 87807 |
|
12 |
12 |
$139.80 |
| 96127 |
|
25 |
25 |
$101.67 |
| 99173 |
|
25 |
25 |
$57.75 |
| 90633 |
|
152 |
152 |
$37.26 |
| 90656 |
|
48 |
48 |
$20.94 |
| 90680 |
|
388 |
388 |
$0.00 |
| 90698 |
|
453 |
453 |
$0.00 |
| 90744 |
|
232 |
231 |
$0.00 |
| 90677 |
|
101 |
101 |
$0.00 |
| 90686 |
|
114 |
114 |
$0.00 |
| 90716 |
|
34 |
34 |
$0.00 |
| 90671 |
|
248 |
248 |
$0.00 |
| 96160 |
|
161 |
161 |
$0.00 |
| 90670 |
|
237 |
237 |
$0.00 |
| 90707 |
|
34 |
34 |
$0.00 |