| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,020 |
1,762 |
$108K |
| 59425 |
|
716 |
485 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
199 |
186 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
148 |
148 |
$13K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
51 |
44 |
$3K |
| 59430 |
|
15 |
14 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 90715 |
|
30 |
30 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
105 |
105 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
132 |
109 |
$2K |
| 81025 |
|
282 |
281 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
79 |
66 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
24 |
24 |
$1K |
| 81002 |
|
1,643 |
1,218 |
$1K |
| 90686 |
|
74 |
74 |
$955.74 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$597.66 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$512.17 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$493.30 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
14 |
$365.05 |
| 0502F |
|
16 |
13 |
$0.00 |