| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,780 |
5,357 |
$344K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,139 |
2,807 |
$265K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,276 |
1,227 |
$116K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,093 |
999 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
713 |
681 |
$65K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,179 |
3,034 |
$62K |
| 99223 |
Prolong inpt eval add15 m |
395 |
376 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
317 |
313 |
$32K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,814 |
1,732 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
51 |
$8K |
| 99381 |
|
50 |
48 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
165 |
141 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
288 |
277 |
$2K |
| 96127 |
|
267 |
253 |
$1K |
| 81002 |
|
475 |
436 |
$537.63 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
18 |
12 |
$214.07 |
| 90670 |
|
790 |
748 |
$165.15 |
| 36416 |
|
16 |
14 |
$56.88 |
| 90686 |
|
623 |
604 |
$22.22 |
| 90680 |
|
313 |
294 |
$22.22 |
| 90633 |
|
291 |
278 |
$22.02 |
| 90698 |
|
462 |
445 |
$11.01 |
| 90648 |
|
109 |
100 |
$0.00 |
| 90710 |
|
111 |
108 |
$0.00 |
| 99173 |
|
292 |
272 |
$0.00 |
| 90685 |
|
29 |
29 |
$0.00 |
| 90734 |
|
101 |
98 |
$0.00 |
| 90715 |
|
27 |
27 |
$0.00 |
| 99401 |
|
12 |
12 |
$0.00 |
| 90700 |
|
53 |
52 |
$0.00 |
| 90744 |
|
205 |
199 |
$0.00 |
| 3008F |
|
581 |
572 |
$0.00 |
| 90651 |
|
67 |
65 |
$0.00 |