| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,393 |
1,041 |
$97K |
| 99233 |
Prolong inpt eval add15 m |
2,936 |
896 |
$93K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,332 |
993 |
$59K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
863 |
721 |
$29K |
| 96127 |
|
1,504 |
1,091 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
90 |
79 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
84 |
63 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
107 |
94 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
110 |
51 |
$2K |
| 99051 |
|
868 |
717 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
15 |
$1K |
| 90734 |
|
34 |
26 |
$876.35 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
24 |
$751.20 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
15 |
$651.30 |
| 94760 |
|
928 |
789 |
$382.72 |
| 99406 |
|
55 |
38 |
$374.96 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$192.84 |
| 90710 |
|
13 |
12 |
$76.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
50 |
$74.44 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$28.11 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
15 |
$19.18 |
| 3074F |
|
1,357 |
1,137 |
$3.14 |
| 3078F |
|
1,070 |
907 |
$2.59 |
| 3079F |
|
500 |
408 |
$0.92 |
| 3075F |
|
78 |
52 |
$0.22 |
| 3077F |
|
40 |
30 |
$0.09 |
| 3008F |
|
2,636 |
2,212 |
$0.00 |
| 99000 |
|
36 |
33 |
$0.00 |
| 3080F |
|
15 |
14 |
$0.00 |