| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,293 |
12,049 |
$1.14M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,244 |
11,941 |
$828K |
| 99215 |
Prolong outpt/office vis |
1,554 |
1,539 |
$181K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,409 |
1,402 |
$137K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,289 |
1,189 |
$134K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,192 |
1,186 |
$107K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
598 |
589 |
$49K |
| 99223 |
Prolong inpt eval add15 m |
444 |
431 |
$47K |
| 90674 |
|
1,019 |
1,009 |
$26K |
| 99385 |
|
257 |
256 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
1,189 |
1,171 |
$21K |
| 99233 |
Prolong inpt eval add15 m |
345 |
306 |
$21K |
| 99386 |
|
112 |
112 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,065 |
1,056 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,129 |
938 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
66 |
66 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
87 |
82 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,295 |
2,241 |
$6K |
| 93000 |
|
803 |
792 |
$6K |
| 81002 |
|
1,396 |
1,356 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
52 |
51 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
31 |
$3K |
| 99384 |
|
29 |
28 |
$3K |
| 99383 |
|
26 |
26 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
124 |
73 |
$2K |
| 0012A |
|
44 |
43 |
$1K |
| 99220 |
|
12 |
12 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
73 |
66 |
$1K |
| 96160 |
|
898 |
888 |
$1K |
| 0004A |
|
34 |
34 |
$1K |
| 0002A |
|
30 |
30 |
$1K |
| 72110 |
|
37 |
37 |
$992.40 |
| 0001A |
|
24 |
24 |
$917.00 |
| 90656 |
|
40 |
40 |
$741.13 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
13 |
$678.06 |
| 0031A |
|
16 |
16 |
$615.71 |
| 0011A |
|
25 |
23 |
$608.60 |
| 0064A |
|
13 |
13 |
$490.68 |
| 83014 |
|
131 |
130 |
$286.82 |
| G0008 |
Administration of influenza virus vaccine |
46 |
44 |
$32.26 |
| 3078F |
|
1,199 |
1,169 |
$0.00 |
| 3077F |
|
813 |
758 |
$0.00 |
| 3051F |
|
41 |
40 |
$0.00 |
| 91300 |
|
103 |
98 |
$0.00 |
| 90461 |
|
34 |
31 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 3080F |
|
390 |
366 |
$0.00 |
| 3074F |
|
1,530 |
1,485 |
$0.00 |
| 3075F |
|
481 |
466 |
$0.00 |
| 3044F |
|
488 |
484 |
$0.00 |
| 3079F |
|
1,175 |
1,137 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 91303 |
|
32 |
27 |
$0.00 |
| 91306 |
|
13 |
13 |
$0.00 |
| 91301 |
|
49 |
42 |
$0.00 |