| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,783 |
3,525 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,489 |
1,381 |
$57K |
| 87428 |
|
748 |
692 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,557 |
2,367 |
$27K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
903 |
426 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
308 |
299 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
114 |
112 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
277 |
253 |
$12K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
121 |
117 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
202 |
174 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
568 |
273 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
572 |
534 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
257 |
108 |
$2K |
| 97597 |
|
134 |
75 |
$1K |
| 92567 |
|
103 |
102 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
39 |
$864.47 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
65 |
24 |
$722.55 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
60 |
58 |
$466.50 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$201.49 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$184.80 |
| 87807 |
|
17 |
16 |
$154.55 |
| 93971 |
|
13 |
13 |
$133.45 |
| 90474 |
|
14 |
13 |
$31.14 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$26.14 |
| 90686 |
|
65 |
64 |
$18.45 |
| 3078F |
|
912 |
852 |
$0.00 |
| 90670 |
|
70 |
67 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 3008F |
|
2,349 |
2,197 |
$0.00 |
| 3074F |
|
910 |
850 |
$0.00 |
| 1123F |
|
19 |
18 |
$0.00 |
| 90680 |
|
14 |
13 |
$0.00 |