| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,878 |
11,332 |
$520K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,240 |
4,616 |
$285K |
| 99233 |
Prolong inpt eval add15 m |
3,862 |
1,197 |
$82K |
| 99223 |
Prolong inpt eval add15 m |
1,229 |
1,076 |
$58K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,225 |
797 |
$26K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,131 |
972 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
250 |
237 |
$14K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
365 |
304 |
$12K |
| 99219 |
|
353 |
309 |
$10K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,278 |
1,074 |
$7K |
| 93923 |
|
86 |
43 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
125 |
112 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
418 |
146 |
$5K |
| 99217 |
|
211 |
195 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
124 |
96 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
64 |
62 |
$3K |
| 95923 |
|
56 |
55 |
$2K |
| 95924 |
|
24 |
24 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
30 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
26 |
$615.54 |
| 99495 |
|
77 |
69 |
$413.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
28 |
$329.57 |
| 93000 |
|
12 |
12 |
$146.19 |
| 90688 |
|
46 |
35 |
$101.92 |
| 81002 |
|
25 |
24 |
$43.22 |
| 90734 |
|
60 |
55 |
$0.23 |
| 90649 |
|
27 |
27 |
$0.13 |
| 90670 |
|
18 |
16 |
$0.02 |
| 90698 |
|
18 |
14 |
$0.02 |