| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,122 |
8,050 |
$232K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,629 |
3,433 |
$124K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,547 |
3,314 |
$100K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,980 |
2,916 |
$99K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,666 |
2,028 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
962 |
945 |
$30K |
| 99219 |
|
386 |
367 |
$15K |
| 99222 |
Initial hospital care, per day, moderate complexity |
367 |
354 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,232 |
1,137 |
$12K |
| 99217 |
|
426 |
409 |
$11K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
643 |
365 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
158 |
151 |
$5K |
| 54150 |
|
111 |
106 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
59 |
$2K |
| 99221 |
|
44 |
40 |
$1K |
| 99441 |
|
108 |
99 |
$949.50 |
| 59514 |
|
14 |
13 |
$939.87 |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
20 |
15 |
$903.02 |
| 99381 |
|
58 |
54 |
$887.93 |
| 99220 |
|
13 |
12 |
$676.80 |
| 99223 |
Prolong inpt eval add15 m |
14 |
13 |
$472.56 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$459.29 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
140 |
139 |
$217.42 |
| 96161 |
|
74 |
67 |
$147.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$82.25 |
| 3074F |
|
821 |
769 |
$0.00 |
| 3075F |
|
15 |
14 |
$0.00 |
| 3078F |
|
896 |
842 |
$0.00 |