| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,963 |
18,386 |
$1.33M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,480 |
22,826 |
$1.19M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
271 |
253 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
193 |
183 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,754 |
2,061 |
$15K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
329 |
280 |
$9K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
630 |
522 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
86 |
81 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
195 |
76 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
356 |
162 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
247 |
214 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
29 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,131 |
1,034 |
$3K |
| 81002 |
|
1,654 |
1,369 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$2K |
| 90461 |
|
603 |
316 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
33 |
26 |
$964.15 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
53 |
16 |
$698.61 |
| 90686 |
|
118 |
115 |
$570.92 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
100 |
95 |
$490.26 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
439 |
393 |
$321.71 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
28 |
$288.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$169.11 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
119 |
105 |
$99.06 |
| 92551 |
|
18 |
12 |
$74.97 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 3008F |
|
211 |
184 |
$0.00 |
| 90651 |
|
17 |
17 |
$0.00 |