| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,542 |
1,310 |
$146K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
535 |
476 |
$34K |
| 90686 |
|
602 |
590 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
100 |
89 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
82 |
73 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
272 |
268 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
111 |
92 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
35 |
27 |
$3K |
| 99460 |
|
27 |
25 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
761 |
710 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
80 |
59 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
12 |
$839.65 |
| 92552 |
|
45 |
38 |
$411.94 |
| 90670 |
|
12 |
12 |
$245.07 |
| 90648 |
|
12 |
12 |
$245.07 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
15 |
$223.37 |
| 99072 |
|
1,532 |
1,222 |
$105.00 |
| 99173 |
|
99 |
85 |
$104.08 |
| 90461 |
|
125 |
120 |
$92.28 |