| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,460 |
6,736 |
$400K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,792 |
1,622 |
$125K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,222 |
1,071 |
$90K |
| 0502F |
|
568 |
384 |
$25K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
292 |
279 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
205 |
195 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
165 |
142 |
$14K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
300 |
58 |
$12K |
| 81025 |
|
2,273 |
2,014 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
531 |
447 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
101 |
80 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
139 |
133 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
77 |
69 |
$2K |
| 88150 |
|
363 |
289 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
24 |
$2K |
| 81000 |
|
390 |
261 |
$867.15 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
23 |
13 |
$754.36 |
| 90670 |
|
83 |
81 |
$512.00 |
| 81002 |
|
199 |
155 |
$470.60 |
| 90734 |
|
30 |
24 |
$367.27 |
| 90651 |
|
21 |
14 |
$350.91 |
| 90633 |
|
14 |
14 |
$89.60 |
| 90715 |
|
13 |
12 |
$83.20 |
| 90723 |
|
14 |
14 |
$83.20 |
| 90647 |
|
14 |
14 |
$70.40 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$0.00 |