| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,454 |
10,159 |
$1.15M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,556 |
10,814 |
$835K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,508 |
2,437 |
$251K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,620 |
2,345 |
$242K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,802 |
4,870 |
$187K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,472 |
1,442 |
$151K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
825 |
811 |
$91K |
| 99215 |
Prolong outpt/office vis |
574 |
553 |
$76K |
| 97802 |
|
3,101 |
3,004 |
$73K |
| 92567 |
|
5,678 |
5,354 |
$68K |
| 90461 |
|
3,720 |
2,919 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
189 |
187 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,268 |
1,219 |
$19K |
| 99050 |
|
1,447 |
1,365 |
$17K |
| 90670 |
|
956 |
853 |
$9K |
| 90723 |
|
617 |
539 |
$3K |
| 90734 |
|
55 |
54 |
$2K |
| 99460 |
|
16 |
16 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
14 |
$851.27 |
| 92587 |
|
42 |
41 |
$849.84 |
| 99051 |
|
48 |
45 |
$576.00 |
| 90648 |
|
976 |
868 |
$418.24 |
| 99462 |
|
15 |
15 |
$351.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
25 |
$341.75 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
14 |
14 |
$160.51 |
| 90715 |
|
26 |
25 |
$156.86 |
| 90686 |
|
34 |
33 |
$131.36 |
| 90681 |
|
77 |
61 |
$122.44 |
| 92551 |
|
16 |
14 |
$93.24 |
| 90677 |
|
14 |
14 |
$0.00 |
| 99000 |
|
57 |
54 |
$0.00 |
| 90634 |
|
41 |
38 |
$0.00 |
| 90649 |
|
25 |
24 |
$0.00 |
| 90633 |
|
16 |
16 |
$0.00 |