| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,410 |
11,344 |
$604K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,031 |
2,801 |
$183K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,326 |
1,213 |
$92K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,573 |
1,474 |
$70K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,009 |
1,879 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
219 |
210 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
186 |
158 |
$12K |
| 99215 |
Prolong outpt/office vis |
114 |
94 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
63 |
59 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
44 |
43 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
24 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
13 |
$2K |
| 99188 |
|
58 |
56 |
$1K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
27 |
24 |
$1K |
| 90670 |
|
372 |
363 |
$989.38 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$869.76 |
| 90697 |
|
311 |
302 |
$648.61 |
| 90677 |
|
163 |
146 |
$578.61 |
| 90715 |
|
12 |
12 |
$417.60 |
| 90686 |
|
214 |
197 |
$409.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
31 |
$357.06 |
| 99307 |
|
15 |
15 |
$155.82 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13 |
12 |
$74.03 |
| 90680 |
|
160 |
154 |
$73.00 |
| 90681 |
|
37 |
37 |
$0.04 |
| 90647 |
|
41 |
41 |
$0.00 |
| 90723 |
|
55 |
55 |
$0.00 |