| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,723 |
20,052 |
$804K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,913 |
1,563 |
$34K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
875 |
672 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
358 |
351 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
489 |
468 |
$15K |
| 90686 |
|
1,095 |
1,095 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
282 |
277 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
856 |
845 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
110 |
109 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
3,296 |
3,232 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
227 |
182 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
44 |
42 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
61 |
61 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
42 |
$2K |
| 90461 |
|
204 |
174 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
33 |
32 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
90 |
81 |
$1K |
| 99307 |
|
36 |
24 |
$763.18 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$640.18 |
| 81025 |
|
198 |
198 |
$501.71 |
| 99233 |
Prolong inpt eval add15 m |
15 |
15 |
$279.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$43.69 |
| G0008 |
Administration of influenza virus vaccine |
28 |
28 |
$41.31 |
| 99000 |
|
53 |
53 |
$21.35 |
| 81002 |
|
14 |
14 |
$14.64 |
| 81003 |
|
12 |
12 |
$5.25 |
| 90723 |
|
25 |
24 |
$2.00 |
| 90648 |
|
17 |
15 |
$0.00 |
| 90670 |
|
27 |
26 |
$0.00 |
| 0502F |
|
42 |
38 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
12 |
12 |
$0.00 |