| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,495 |
1,235 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,673 |
1,485 |
$55K |
| 99223 |
Prolong inpt eval add15 m |
236 |
190 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
504 |
432 |
$26K |
| 54160 |
|
180 |
161 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
673 |
630 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
405 |
391 |
$20K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
313 |
181 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
235 |
187 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
171 |
170 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
83 |
78 |
$4K |
| 1159F |
|
682 |
604 |
$2K |
| 1160F |
|
665 |
590 |
$2K |
| 81003 |
|
788 |
696 |
$1K |
| 82947 |
|
368 |
301 |
$762.75 |
| 3008F |
|
216 |
197 |
$730.00 |
| 90658 |
|
37 |
34 |
$317.27 |
| 1158F |
|
130 |
110 |
$290.00 |
| 81025 |
|
51 |
45 |
$220.52 |
| 87536 |
|
321 |
295 |
$1.33 |
| 90707 |
|
68 |
66 |
$0.01 |
| 90723 |
|
232 |
209 |
$0.00 |
| 90680 |
|
166 |
150 |
$0.00 |
| 90716 |
|
81 |
79 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90670 |
|
399 |
373 |
$0.00 |
| 90734 |
|
66 |
54 |
$0.00 |
| 90633 |
|
86 |
83 |
$0.00 |