| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,876 |
5,393 |
$382K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,552 |
3,273 |
$209K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,477 |
3,197 |
$63K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,435 |
752 |
$60K |
| 99233 |
Prolong inpt eval add15 m |
471 |
286 |
$22K |
| 0001A |
|
548 |
533 |
$12K |
| 0002A |
|
488 |
477 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
108 |
108 |
$12K |
| 99222 |
Initial hospital care, per day, moderate complexity |
174 |
165 |
$10K |
| 91320 |
|
91 |
89 |
$6K |
| 90688 |
|
223 |
154 |
$6K |
| 90480 |
|
174 |
172 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
36 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
91 |
83 |
$3K |
| 0124A |
|
92 |
87 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
132 |
131 |
$2K |
| 0004A |
|
72 |
72 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
51 |
25 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
12 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 90658 |
|
44 |
42 |
$930.00 |
| 0012A |
|
47 |
47 |
$758.19 |
| 0011A |
|
93 |
74 |
$663.15 |
| 90686 |
|
1,050 |
988 |
$544.14 |
| 0072A |
|
13 |
12 |
$447.48 |
| 36415 |
Collection of venous blood by venipuncture |
258 |
241 |
$440.14 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
26 |
15 |
$384.56 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
20 |
13 |
$175.44 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$173.00 |
| 0003A |
|
15 |
14 |
$149.16 |
| 80053 |
Comprehensive metabolic panel |
13 |
12 |
$137.28 |
| 92567 |
|
16 |
12 |
$100.26 |
| 92551 |
|
13 |
13 |
$98.67 |
| 90656 |
|
89 |
89 |
$22.35 |
| G0008 |
Administration of influenza virus vaccine |
67 |
67 |
$0.00 |
| 91301 |
|
84 |
64 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 91307 |
|
28 |
27 |
$0.00 |
| 91312 |
|
68 |
67 |
$0.00 |
| 91300 |
|
854 |
820 |
$0.00 |
| 91321 |
|
14 |
14 |
$0.00 |