| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,001 |
17,971 |
$1.60M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,175 |
4,746 |
$577K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,698 |
3,689 |
$352K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,253 |
8,186 |
$303K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,811 |
2,807 |
$268K |
| 99441 |
|
4,155 |
3,557 |
$186K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,974 |
1,961 |
$172K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,337 |
1,334 |
$138K |
| 99442 |
|
1,283 |
1,203 |
$94K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,761 |
8,971 |
$92K |
| 87070 |
|
8,667 |
7,917 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
886 |
864 |
$38K |
| 90677 |
|
174 |
174 |
$37K |
| 99051 |
|
5,854 |
5,290 |
$30K |
| 36406 |
|
1,249 |
1,120 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
119 |
119 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
112 |
111 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
67 |
67 |
$7K |
| 99383 |
|
56 |
56 |
$6K |
| 99460 |
|
77 |
77 |
$6K |
| 81002 |
|
2,531 |
2,440 |
$5K |
| 99384 |
|
35 |
35 |
$4K |
| 86317 |
|
403 |
376 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,508 |
1,477 |
$2K |
| 90461 |
|
41 |
41 |
$2K |
| 69210 |
|
52 |
52 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
61 |
61 |
$2K |
| 99443 |
|
14 |
14 |
$2K |
| 90619 |
|
67 |
67 |
$180.00 |
| 87081 |
|
34 |
33 |
$143.10 |
| 99072 |
|
16 |
14 |
$57.50 |
| 90687 |
|
162 |
162 |
$1.58 |
| 90672 |
|
15 |
15 |
$0.00 |
| 90686 |
|
42 |
42 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |