| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,799 |
3,608 |
$209K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,036 |
2,961 |
$200K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,931 |
2,929 |
$95K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,353 |
2,252 |
$92K |
| 99441 |
|
666 |
647 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
153 |
153 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
359 |
355 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
307 |
307 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
35 |
35 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
397 |
394 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
53 |
52 |
$2K |
| 87428 |
|
61 |
60 |
$2K |
| 90674 |
|
79 |
78 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
24 |
13 |
$814.57 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
12 |
$691.35 |
| 90756 |
|
60 |
60 |
$687.49 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
17 |
$250.24 |
| 99304 |
|
21 |
21 |
$247.88 |
| 90686 |
|
39 |
39 |
$238.90 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$193.26 |
| 90715 |
|
13 |
13 |
$36.76 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$29.60 |
| 90651 |
|
12 |
12 |
$0.00 |
| 96160 |
|
110 |
110 |
$0.00 |