| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,664 |
2,428 |
$291K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,309 |
2,974 |
$234K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,160 |
2,139 |
$187K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,152 |
1,152 |
$107K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,223 |
3,203 |
$87K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,531 |
1,394 |
$54K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,182 |
1,180 |
$38K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
126 |
125 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
281 |
231 |
$5K |
| 99460 |
|
51 |
51 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
157 |
156 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
38 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
35 |
24 |
$2K |
| 96161 |
|
214 |
208 |
$575.66 |
| 87428 |
|
21 |
20 |
$539.51 |
| 87807 |
|
20 |
20 |
$243.40 |
| 90686 |
|
274 |
274 |
$0.01 |
| 90658 |
|
109 |
109 |
$0.01 |
| 90677 |
|
173 |
172 |
$0.00 |
| 90680 |
|
556 |
555 |
$0.00 |
| 90697 |
|
279 |
279 |
$0.00 |
| 90647 |
|
181 |
181 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90656 |
|
33 |
33 |
$0.00 |
| 90723 |
|
119 |
119 |
$0.00 |
| 90670 |
|
760 |
760 |
$0.00 |
| 90633 |
|
110 |
110 |
$0.00 |
| 96160 |
|
82 |
81 |
$0.00 |
| 90671 |
|
100 |
100 |
$0.00 |
| 90681 |
|
48 |
48 |
$0.00 |