| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,158 |
2,824 |
$125K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,991 |
1,809 |
$90K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
553 |
522 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
465 |
456 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
907 |
824 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,153 |
1,111 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
177 |
176 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
624 |
609 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
52 |
51 |
$3K |
| 92551 |
|
328 |
318 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
58 |
56 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
57 |
56 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$937.32 |
| 99173 |
|
363 |
340 |
$621.47 |
| 90474 |
|
40 |
39 |
$337.81 |
| 90686 |
|
171 |
168 |
$19.03 |
| 90698 |
|
68 |
68 |
$0.00 |
| 90744 |
|
28 |
27 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
19 |
12 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90680 |
|
40 |
39 |
$0.00 |
| 90648 |
|
44 |
42 |
$0.00 |
| 90670 |
|
310 |
300 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90685 |
|
16 |
15 |
$0.00 |