| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,281 |
4,918 |
$322K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,687 |
6,978 |
$306K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,367 |
1,316 |
$71K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
767 |
760 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
744 |
715 |
$18K |
| 99460 |
|
205 |
198 |
$15K |
| 92567 |
|
1,231 |
1,120 |
$15K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
262 |
257 |
$8K |
| 99174 |
|
358 |
351 |
$3K |
| 99462 |
|
54 |
51 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
126 |
124 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
41 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$793.69 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$646.26 |
| 83655 |
|
45 |
45 |
$569.39 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
22 |
13 |
$534.03 |
| 54150 |
|
12 |
12 |
$509.58 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$140.14 |
| 85018 |
|
46 |
46 |
$111.44 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$92.30 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$25.54 |
| 94760 |
|
90 |
80 |
$0.00 |