| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,579 |
16,210 |
$498K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,104 |
6,989 |
$350K |
| 87428 |
|
1,332 |
1,074 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
996 |
848 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,288 |
3,823 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,120 |
1,686 |
$27K |
| 99223 |
Prolong inpt eval add15 m |
303 |
256 |
$24K |
| T1015 |
Clinic visit/encounter, all-inclusive |
971 |
811 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
480 |
369 |
$21K |
| 99220 |
|
217 |
196 |
$18K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
598 |
315 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
374 |
298 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,670 |
1,033 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
384 |
333 |
$10K |
| 81025 |
|
1,098 |
874 |
$7K |
| 99217 |
|
182 |
162 |
$5K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
124 |
74 |
$4K |
| 99460 |
|
28 |
28 |
$3K |
| 90686 |
|
421 |
270 |
$3K |
| 87807 |
|
281 |
194 |
$3K |
| 97597 |
|
112 |
63 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
34 |
26 |
$2K |
| 82962 |
|
1,129 |
814 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
184 |
125 |
$920.35 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$880.97 |
| 99222 |
Initial hospital care, per day, moderate complexity |
17 |
16 |
$860.01 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
78 |
48 |
$785.52 |
| 99401 |
|
59 |
24 |
$539.00 |
| G0008 |
Administration of influenza virus vaccine |
74 |
69 |
$356.89 |
| 81002 |
|
342 |
280 |
$146.40 |
| 36415 |
Collection of venous blood by venipuncture |
78 |
64 |
$66.00 |
| 82043 |
|
44 |
13 |
$49.62 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
26 |
18 |
$29.28 |