| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99381 |
|
1,687 |
1,641 |
$192K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,645 |
1,601 |
$125K |
| 99223 |
Prolong inpt eval add15 m |
982 |
976 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,329 |
4,056 |
$49K |
| 99460 |
|
1,039 |
1,035 |
$43K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
873 |
867 |
$34K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
993 |
985 |
$31K |
| 99233 |
Prolong inpt eval add15 m |
558 |
391 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
616 |
606 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
851 |
787 |
$10K |
| 90670 |
|
1,307 |
1,301 |
$9K |
| 90680 |
|
1,171 |
1,169 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,154 |
1,099 |
$8K |
| 90698 |
|
1,105 |
1,102 |
$8K |
| 90744 |
|
900 |
898 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
427 |
427 |
$7K |
| 92552 |
|
1,365 |
1,361 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
285 |
274 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,592 |
1,016 |
$5K |
| 99462 |
|
145 |
128 |
$3K |
| 0001A |
|
68 |
43 |
$1K |
| 90700 |
|
192 |
191 |
$1K |
| 90648 |
|
168 |
167 |
$1K |
| 90713 |
|
146 |
145 |
$1K |
| 90688 |
|
299 |
298 |
$1K |
| 0002A |
|
24 |
18 |
$640.00 |
| 99173 |
|
1,127 |
1,125 |
$631.48 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
14 |
$402.80 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
72 |
72 |
$358.40 |
| 85018 |
|
406 |
404 |
$319.92 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$210.82 |
| 90657 |
|
42 |
42 |
$135.00 |
| G9920 |
Screening performed and negative |
94 |
93 |
$87.00 |
| 90658 |
|
13 |
13 |
$27.00 |
| 90633 |
|
13 |
13 |
$18.00 |
| 90461 |
|
180 |
172 |
$8.08 |
| 3008F |
|
2,096 |
1,988 |
$0.00 |
| 3074F |
|
1,468 |
1,401 |
$0.00 |
| 3079F |
|
350 |
343 |
$0.00 |
| 3075F |
|
77 |
75 |
$0.00 |
| 96156 |
|
97 |
97 |
$0.00 |
| 1125F |
|
19 |
18 |
$0.00 |
| 3078F |
|
1,270 |
1,219 |
$0.00 |
| 97803 |
|
85 |
85 |
$0.00 |
| 1159F |
|
75 |
73 |
$0.00 |
| 91300 |
|
44 |
38 |
$0.00 |