| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,176 |
25,979 |
$1.14M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,970 |
8,014 |
$442K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,576 |
3,083 |
$23K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,450 |
1,115 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
75 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
91 |
79 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
57 |
56 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
427 |
400 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
121 |
51 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
206 |
100 |
$2K |
| 96127 |
|
302 |
269 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
60 |
49 |
$735.24 |
| 99177 |
|
12 |
12 |
$119.82 |
| 1036F |
|
3,039 |
2,616 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
240 |
217 |
$0.00 |
| 4004F |
|
603 |
524 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
161 |
151 |
$0.00 |