| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,405 |
3,809 |
$235K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,950 |
2,562 |
$212K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
322 |
284 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
196 |
186 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
68 |
68 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
52 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
717 |
678 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$126.94 |
| 90686 |
|
57 |
54 |
$33.13 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
317 |
306 |
$0.00 |
| 90670 |
|
42 |
42 |
$0.00 |
| 1159F |
|
13 |
13 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |
| 90474 |
|
27 |
27 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |