| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,619 |
8,415 |
$428K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,746 |
1,595 |
$130K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
430 |
404 |
$32K |
| S0612 |
Annual gynecological examination, established patient |
455 |
419 |
$30K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
82 |
70 |
$25K |
| 99222 |
Initial hospital care, per day, moderate complexity |
193 |
181 |
$14K |
| 99235 |
|
214 |
196 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
165 |
160 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
298 |
261 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
76 |
75 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
616 |
500 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
39 |
$3K |
| 59430 |
|
37 |
36 |
$3K |
| 54150 |
|
54 |
39 |
$1K |
| 99459 |
|
47 |
42 |
$795.91 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
89 |
52 |
$560.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
34 |
$411.38 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
71 |
67 |
$411.09 |
| 99442 |
|
27 |
24 |
$408.13 |
| 90686 |
|
31 |
19 |
$256.08 |
| 81025 |
|
61 |
55 |
$152.65 |
| 90658 |
|
12 |
12 |
$49.52 |
| 87210 |
|
14 |
13 |
$17.91 |
| 87220 |
|
13 |
12 |
$0.00 |
| S0610 |
Annual gynecological examination, new patient |
16 |
16 |
$0.00 |
| 3078F |
|
551 |
461 |
$0.00 |
| 3077F |
|
47 |
39 |
$0.00 |
| 3074F |
|
650 |
555 |
$0.00 |
| 3079F |
|
226 |
198 |
$0.00 |
| 3075F |
|
16 |
16 |
$0.00 |