| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,295 |
11,370 |
$961K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,279 |
13,973 |
$769K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,677 |
2,888 |
$51K |
| 90686 |
|
1,950 |
1,723 |
$17K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
279 |
122 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
96 |
42 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
104 |
51 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
16 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
167 |
105 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
40 |
37 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
80 |
27 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
41 |
25 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
27 |
26 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
14 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
65 |
63 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
16 |
13 |
$902.64 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
40 |
40 |
$867.15 |
| 90688 |
|
134 |
102 |
$824.18 |
| 99221 |
|
19 |
12 |
$520.24 |
| 99443 |
|
19 |
12 |
$165.32 |
| 99406 |
|
14 |
13 |
$161.59 |
| 36415 |
Collection of venous blood by venipuncture |
63 |
60 |
$159.00 |
| 99442 |
|
26 |
14 |
$113.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
932 |
409 |
$0.00 |
| G9920 |
Screening performed and negative |
117 |
92 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$0.00 |