| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,034 |
24,733 |
$267K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,990 |
3,956 |
$45K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,991 |
1,967 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,700 |
2,443 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
548 |
546 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
375 |
373 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
323 |
318 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
593 |
589 |
$10K |
| 90682 |
|
356 |
353 |
$10K |
| 90461 |
|
541 |
536 |
$9K |
| 90686 |
|
1,118 |
1,089 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
387 |
165 |
$6K |
| 59426 |
|
158 |
115 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
158 |
158 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
153 |
151 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
162 |
157 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
487 |
484 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
495 |
435 |
$3K |
| 90715 |
|
47 |
47 |
$2K |
| 90651 |
|
40 |
39 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
23 |
12 |
$722.75 |
| 99223 |
Prolong inpt eval add15 m |
26 |
24 |
$523.64 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
46 |
12 |
$450.64 |
| 90734 |
|
41 |
41 |
$376.38 |
| 81002 |
|
463 |
378 |
$316.84 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
25 |
$276.88 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
13 |
$269.18 |
| 90670 |
|
84 |
81 |
$226.43 |
| 99304 |
|
15 |
14 |
$182.26 |
| 90698 |
|
49 |
48 |
$106.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$55.79 |
| 36416 |
|
29 |
29 |
$10.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
62 |
60 |
$8.43 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
37 |
37 |
$6.60 |
| 3008F |
|
4,859 |
4,739 |
$0.00 |
| 1036F |
|
2,837 |
2,790 |
$0.00 |
| 3074F |
|
51 |
51 |
$0.00 |
| 3079F |
|
25 |
24 |
$0.00 |
| 90744 |
|
13 |
12 |
$0.00 |
| 3078F |
|
25 |
25 |
$0.00 |
| 3725F |
|
2,464 |
2,455 |
$0.00 |
| 0502F |
|
54 |
38 |
$0.00 |
| 4004F |
|
584 |
565 |
$0.00 |
| 99442 |
|
18 |
13 |
$0.00 |
| 3077F |
|
28 |
27 |
$0.00 |