| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,133 |
4,425 |
$544K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,995 |
2,620 |
$239K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,998 |
1,752 |
$171K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,339 |
1,314 |
$129K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,293 |
2,183 |
$72K |
| 99401 |
|
1,905 |
1,768 |
$62K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
367 |
342 |
$50K |
| 90461 |
|
1,591 |
1,527 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
375 |
369 |
$36K |
| 97802 |
|
1,119 |
1,078 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
87 |
86 |
$9K |
| S9470 |
Nutritional counseling, dietitian visit |
1,935 |
1,697 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
70 |
53 |
$6K |
| 92015 |
Determination of refractive state |
226 |
226 |
$5K |
| 92558 |
|
284 |
280 |
$3K |
| 99383 |
|
17 |
17 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
67 |
66 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
68 |
64 |
$941.68 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$721.37 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
12 |
$597.45 |
| 90670 |
|
1,023 |
985 |
$236.56 |
| 90710 |
|
15 |
15 |
$236.03 |
| 90633 |
|
388 |
381 |
$174.25 |
| 99051 |
|
14 |
14 |
$151.13 |
| 90716 |
|
132 |
131 |
$142.47 |
| 90686 |
|
288 |
286 |
$79.76 |
| 90696 |
|
17 |
17 |
$56.18 |
| 90700 |
|
103 |
100 |
$32.88 |
| 90744 |
|
708 |
681 |
$28.18 |
| 90698 |
|
772 |
739 |
$0.00 |
| 90680 |
|
679 |
649 |
$0.00 |
| 91307 |
|
25 |
20 |
$0.00 |
| 90677 |
|
56 |
56 |
$0.00 |
| 99070 |
|
16 |
15 |
$0.00 |
| 0072A |
|
15 |
15 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| 99173 |
|
108 |
101 |
$0.00 |
| 90648 |
|
138 |
138 |
$0.00 |
| 90707 |
|
148 |
148 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 99177 |
|
47 |
22 |
$0.00 |
| 90681 |
|
26 |
26 |
$0.00 |