| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,651 |
6,198 |
$467K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,457 |
5,117 |
$402K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,050 |
1,050 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
479 |
478 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
580 |
580 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
355 |
355 |
$32K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
773 |
773 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
305 |
294 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,253 |
1,250 |
$22K |
| 92567 |
|
946 |
945 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
84 |
84 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
280 |
248 |
$7K |
| 99442 |
|
55 |
43 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
208 |
194 |
$3K |
| 99490 |
Ccm add 20min |
321 |
321 |
$2K |
| 99173 |
|
900 |
899 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
101 |
97 |
$2K |
| 96127 |
|
254 |
254 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
42 |
24 |
$933.26 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
93 |
93 |
$731.24 |
| 87807 |
|
59 |
51 |
$681.52 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
18 |
$564.08 |
| 99443 |
|
14 |
14 |
$455.27 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
60 |
60 |
$260.49 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
24 |
24 |
$190.51 |
| 96161 |
|
40 |
39 |
$190.02 |
| 90698 |
|
66 |
66 |
$0.00 |
| 90674 |
|
35 |
35 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90670 |
|
183 |
183 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |