| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,336 |
2,885 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,280 |
1,033 |
$58K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
406 |
294 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
303 |
221 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
186 |
168 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
75 |
67 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
767 |
612 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
398 |
346 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
34 |
14 |
$321.59 |
| 82947 |
|
422 |
359 |
$215.50 |
| 90688 |
|
130 |
123 |
$163.06 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
14 |
14 |
$131.02 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$69.44 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
13 |
13 |
$0.00 |
| 90698 |
|
74 |
60 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
35 |
35 |
$0.00 |
| 90744 |
|
16 |
13 |
$0.00 |
| 90670 |
|
225 |
196 |
$0.00 |
| 90633 |
|
50 |
39 |
$0.00 |
| 90681 |
|
47 |
40 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |