| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,346 |
10,169 |
$686K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,215 |
1,211 |
$122K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,141 |
1,138 |
$113K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
733 |
733 |
$74K |
| 90461 |
|
1,077 |
1,075 |
$49K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
400 |
399 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,442 |
1,435 |
$36K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
322 |
313 |
$22K |
| 99460 |
|
109 |
109 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
217 |
213 |
$8K |
| 95115 |
|
586 |
256 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
284 |
281 |
$4K |
| 95117 |
|
374 |
167 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
27 |
26 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
69 |
$1K |
| 83655 |
|
57 |
57 |
$854.48 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22 |
22 |
$330.18 |
| 90680 |
|
381 |
381 |
$0.00 |
| 90698 |
|
241 |
241 |
$0.00 |
| 90647 |
|
252 |
252 |
$0.00 |
| 90716 |
|
108 |
108 |
$0.00 |
| 90723 |
|
224 |
224 |
$0.00 |
| 90696 |
|
31 |
31 |
$0.00 |
| 90744 |
|
46 |
46 |
$0.00 |
| 90686 |
|
33 |
33 |
$0.00 |
| 90700 |
|
42 |
42 |
$0.00 |
| 90670 |
|
510 |
508 |
$0.00 |
| 90649 |
|
76 |
76 |
$0.00 |
| 90633 |
|
285 |
284 |
$0.00 |
| 90734 |
|
92 |
92 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90715 |
|
51 |
51 |
$0.00 |
| 90707 |
|
79 |
78 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |