| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,643 |
5,385 |
$370K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
980 |
951 |
$86K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,452 |
1,434 |
$41K |
| 99460 |
|
500 |
498 |
$36K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
495 |
494 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
90 |
90 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
65 |
65 |
$5K |
| 92551 |
|
435 |
434 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
19 |
19 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99173 |
|
254 |
253 |
$872.56 |
| 90686 |
|
231 |
231 |
$836.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
59 |
$829.58 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
70 |
70 |
$733.66 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
15 |
$620.70 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
54 |
$571.19 |
| 90461 |
|
12 |
12 |
$377.91 |
| 99462 |
|
12 |
12 |
$321.94 |