| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,938 |
28,281 |
$862K |
| T1015 |
Clinic visit/encounter, all-inclusive |
12,086 |
8,626 |
$706K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,302 |
3,687 |
$164K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,243 |
1,076 |
$70K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,570 |
3,027 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
382 |
326 |
$22K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,688 |
1,483 |
$22K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
391 |
357 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
492 |
393 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
135 |
117 |
$9K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
78 |
72 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
242 |
192 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
115 |
89 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
356 |
142 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
539 |
231 |
$4K |
| 99460 |
|
77 |
76 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
120 |
120 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
822 |
659 |
$3K |
| 99462 |
|
31 |
26 |
$749.40 |
| 92551 |
|
91 |
83 |
$638.87 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
114 |
83 |
$343.86 |
| 87807 |
|
40 |
26 |
$333.63 |
| 99173 |
|
160 |
152 |
$248.82 |
| 90474 |
|
15 |
14 |
$127.82 |
| 81002 |
|
47 |
42 |
$88.90 |
| 90688 |
|
37 |
37 |
$35.68 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
39 |
38 |
$19.32 |
| 90633 |
|
72 |
39 |
$0.07 |
| 3288F |
|
382 |
353 |
$0.00 |
| 90670 |
|
624 |
566 |
$0.00 |
| 90662 |
|
16 |
16 |
$0.00 |
| 90710 |
|
57 |
57 |
$0.00 |
| 90648 |
|
25 |
25 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| 1101F |
|
377 |
349 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
339 |
318 |
$0.00 |
| 99217 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
108 |
93 |
$0.00 |
| 90698 |
|
39 |
39 |
$0.00 |
| 90686 |
|
151 |
143 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |