| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,743 |
14,526 |
$1.74M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,698 |
3,245 |
$328K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,530 |
1,402 |
$154K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,256 |
1,178 |
$131K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,789 |
2,665 |
$110K |
| W0037 |
|
4,218 |
4,218 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
365 |
360 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
422 |
362 |
$40K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
323 |
295 |
$34K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
328 |
263 |
$24K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
406 |
271 |
$21K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
201 |
189 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,755 |
1,693 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
169 |
165 |
$20K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
208 |
81 |
$15K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
168 |
143 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
199 |
129 |
$12K |
| 90658 |
|
228 |
205 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
77 |
74 |
$9K |
| 99307 |
|
210 |
171 |
$8K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
27 |
25 |
$3K |
| 90474 |
|
40 |
39 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
26 |
$1K |
| 90715 |
|
86 |
81 |
$905.56 |
| 90670 |
|
596 |
579 |
$449.40 |
| 90680 |
|
102 |
100 |
$0.00 |
| 90647 |
|
78 |
76 |
$0.00 |
| 90723 |
|
399 |
393 |
$0.00 |
| 90657 |
|
112 |
106 |
$0.00 |
| 90677 |
|
72 |
71 |
$0.00 |
| 90688 |
|
57 |
56 |
$0.00 |
| 90686 |
|
100 |
98 |
$0.00 |
| 90674 |
|
14 |
14 |
$0.00 |
| 90651 |
|
61 |
59 |
$0.00 |
| 90733 |
|
52 |
47 |
$0.00 |
| 90656 |
|
64 |
59 |
$0.00 |
| 90480 |
|
16 |
13 |
$0.00 |
| 90696 |
|
25 |
25 |
$0.00 |
| 90649 |
|
69 |
61 |
$0.00 |
| 90734 |
|
46 |
44 |
$0.00 |
| 90685 |
|
64 |
61 |
$0.00 |
| 90648 |
|
350 |
339 |
$0.00 |
| 90710 |
|
99 |
99 |
$0.00 |
| 90633 |
|
65 |
64 |
$0.00 |
| 90756 |
|
42 |
40 |
$0.00 |
| 0071A |
|
22 |
21 |
$0.00 |
| 91322 |
|
15 |
12 |
$0.00 |
| 90473 |
|
12 |
12 |
$0.00 |