| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,573 |
18,274 |
$1.02M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
709 |
657 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
105 |
98 |
$9K |
| 90686 |
|
602 |
557 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
64 |
52 |
$4K |
| 96127 |
|
1,492 |
1,120 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
237 |
233 |
$3K |
| 87428 |
|
128 |
97 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
44 |
39 |
$3K |
| 99307 |
|
338 |
276 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
65 |
44 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
68 |
25 |
$2K |
| 81002 |
|
554 |
389 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
48 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
21 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$587.64 |
| 90715 |
|
16 |
12 |
$320.27 |
| 36415 |
Collection of venous blood by venipuncture |
173 |
172 |
$317.73 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
26 |
$292.95 |
| 3008F |
|
1,761 |
1,420 |
$160.00 |
| 81003 |
|
42 |
26 |
$69.00 |
| 3074F |
|
4,403 |
3,595 |
$30.00 |
| 3078F |
|
4,013 |
3,296 |
$30.00 |
| 3079F |
|
1,737 |
1,377 |
$0.00 |
| 3080F |
|
199 |
171 |
$0.00 |
| 3044F |
|
812 |
652 |
$0.00 |
| 3075F |
|
911 |
734 |
$0.00 |
| 3077F |
|
537 |
432 |
$0.00 |