| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,571 |
9,842 |
$626K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,809 |
3,744 |
$265K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
6,582 |
6,484 |
$112K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,207 |
1,178 |
$47K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,492 |
1,481 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
551 |
551 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
125 |
125 |
$18K |
| 80047 |
|
1,275 |
1,267 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,055 |
2,036 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
136 |
136 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
117 |
117 |
$11K |
| 99306 |
Prolong nursin fac eval 15m |
82 |
82 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
69 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
476 |
237 |
$7K |
| 80061 |
Lipid panel |
385 |
385 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
54 |
53 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
46 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
293 |
290 |
$4K |
| 90686 |
|
385 |
385 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
271 |
271 |
$2K |
| 0011A |
|
12 |
12 |
$480.00 |
| 81001 |
|
95 |
92 |
$277.73 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
17 |
$220.50 |
| 90670 |
|
94 |
94 |
$166.77 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
12 |
12 |
$144.03 |
| 96160 |
|
433 |
432 |
$0.01 |
| 90651 |
|
17 |
17 |
$0.00 |