| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,377 |
15,379 |
$3.48M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,846 |
4,785 |
$969K |
| 11721 |
|
2,288 |
2,153 |
$390K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,842 |
2,394 |
$375K |
| X5622 |
|
1,233 |
1,210 |
$271K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,950 |
1,692 |
$244K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,191 |
907 |
$198K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,511 |
1,449 |
$187K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
241 |
237 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
257 |
250 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
108 |
96 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
55 |
24 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
140 |
128 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
56 |
$2K |
| 91320 |
|
22 |
18 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$2K |
| 99188 |
|
211 |
206 |
$1K |
| 99217 |
|
50 |
45 |
$1K |
| 90662 |
|
13 |
13 |
$845.00 |
| 90480 |
|
22 |
18 |
$596.05 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$260.00 |
| 93308 |
|
14 |
12 |
$101.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,064 |
2,934 |
$51.78 |
| 90686 |
|
877 |
867 |
$43.68 |
| 96127 |
|
187 |
154 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,698 |
1,615 |
$0.00 |
| 91307 |
|
76 |
76 |
$0.00 |
| 92551 |
|
631 |
617 |
$0.00 |
| 0001A |
|
217 |
217 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
22 |
18 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
156 |
142 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
24 |
$0.00 |
| 90716 |
|
24 |
24 |
$0.00 |
| 0002A |
|
207 |
207 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
956 |
928 |
$0.00 |
| 90685 |
|
54 |
54 |
$0.00 |
| 99173 |
|
621 |
610 |
$0.00 |
| 91300 |
|
752 |
662 |
$0.00 |
| 0004A |
|
129 |
129 |
$0.00 |
| 90715 |
|
77 |
76 |
$0.00 |
| 90670 |
|
27 |
27 |
$0.00 |