| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,494 |
9,410 |
$606K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,572 |
12,128 |
$560K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,211 |
3,432 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
363 |
294 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,510 |
1,166 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
240 |
199 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
888 |
350 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
87 |
87 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
566 |
492 |
$5K |
| 90686 |
|
1,605 |
1,405 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
25 |
$3K |
| 59425 |
|
21 |
12 |
$2K |
| 96127 |
|
393 |
316 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$685.65 |
| 81003 |
|
386 |
268 |
$424.65 |
| 87807 |
|
30 |
24 |
$222.51 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
58 |
51 |
$194.00 |
| 90474 |
|
22 |
13 |
$112.96 |
| 99307 |
|
35 |
32 |
$37.15 |
| 99051 |
|
1,679 |
1,521 |
$10.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
26 |
$0.00 |
| 90723 |
|
33 |
25 |
$0.00 |
| 90732 |
|
28 |
28 |
$0.00 |
| 90680 |
|
20 |
13 |
$0.00 |
| 90698 |
|
16 |
15 |
$0.00 |
| 90648 |
|
105 |
80 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
30 |
$0.00 |
| 90670 |
|
242 |
199 |
$0.00 |
| 90715 |
|
48 |
47 |
$0.00 |
| 90633 |
|
75 |
59 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
39 |
39 |
$0.00 |