| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,174 |
2,705 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,223 |
1,094 |
$57K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
458 |
433 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
425 |
391 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
206 |
192 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
328 |
145 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
455 |
425 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
431 |
266 |
$5K |
| 99460 |
|
29 |
28 |
$3K |
| 90670 |
|
243 |
229 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
38 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
114 |
100 |
$1K |
| 87807 |
|
109 |
92 |
$1K |
| 87275 |
|
103 |
95 |
$1K |
| 87276 |
|
103 |
95 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
22 |
20 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$994.29 |
| 90648 |
|
102 |
95 |
$898.64 |
| 90686 |
|
89 |
84 |
$840.78 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
17 |
13 |
$610.88 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$541.20 |
| 90723 |
|
61 |
55 |
$506.68 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
29 |
14 |
$466.90 |
| 90647 |
|
16 |
15 |
$133.84 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
29 |
27 |
$111.00 |
| 90716 |
|
15 |
12 |
$105.16 |
| 90707 |
|
16 |
12 |
$105.16 |
| 90681 |
|
13 |
13 |
$105.16 |
| 80053 |
Comprehensive metabolic panel |
14 |
14 |
$45.30 |