| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,062 |
1,831 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,769 |
2,422 |
$82K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
819 |
652 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
431 |
405 |
$36K |
| 80305 |
|
842 |
676 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
100 |
89 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
396 |
368 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
262 |
241 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
480 |
393 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
41 |
38 |
$2K |
| 99460 |
|
25 |
24 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
494 |
413 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
61 |
$617.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$447.23 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$410.47 |
| 90461 |
|
229 |
193 |
$303.40 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
51 |
43 |
$38.00 |
| 90670 |
|
73 |
63 |
$4.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |