| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,890 |
3,219 |
$172K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
811 |
715 |
$58K |
| 90686 |
|
864 |
683 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
110 |
96 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
59 |
39 |
$4K |
| 96127 |
|
181 |
164 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
88 |
79 |
$3K |
| 90651 |
|
88 |
74 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
33 |
12 |
$2K |
| 96160 |
|
58 |
38 |
$915.27 |
| 90670 |
|
84 |
72 |
$790.80 |
| 90698 |
|
75 |
62 |
$504.64 |
| 90734 |
|
70 |
58 |
$435.84 |
| 90715 |
|
22 |
17 |
$360.66 |
| 90744 |
|
12 |
12 |
$76.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
42 |
$0.00 |