| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,659 |
4,600 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,237 |
1,099 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,755 |
1,460 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
994 |
851 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
907 |
810 |
$9K |
| 92552 |
|
2,075 |
1,856 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
299 |
283 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
166 |
161 |
$1K |
| 0011A |
|
35 |
35 |
$1K |
| 99460 |
|
12 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
107 |
106 |
$688.95 |
| 90686 |
|
302 |
286 |
$678.20 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$560.72 |
| 0012A |
|
18 |
17 |
$520.00 |
| 90674 |
|
72 |
71 |
$517.43 |
| 99173 |
|
1,684 |
1,527 |
$374.09 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
21 |
20 |
$334.74 |
| 90677 |
|
36 |
36 |
$271.61 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$156.57 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
36 |
35 |
$88.29 |
| 90688 |
|
49 |
49 |
$85.70 |
| 90707 |
|
44 |
37 |
$81.35 |
| 90716 |
|
43 |
36 |
$81.35 |
| 90651 |
|
26 |
26 |
$7.86 |
| 90715 |
|
23 |
15 |
$5.96 |
| 90734 |
|
20 |
14 |
$5.96 |
| 85018 |
|
13 |
13 |
$2.48 |
| 36416 |
|
13 |
13 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |