| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,689 |
3,415 |
$279K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,749 |
3,461 |
$198K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,219 |
1,151 |
$79K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
767 |
758 |
$55K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,068 |
1,059 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
328 |
305 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,407 |
1,392 |
$10K |
| 99215 |
Prolong outpt/office vis |
41 |
40 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
49 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
75 |
72 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
102 |
100 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
14 |
14 |
$697.49 |
| 90674 |
|
40 |
40 |
$669.45 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
25 |
$659.60 |
| 98928 |
|
12 |
12 |
$489.72 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
22 |
13 |
$486.29 |
| G0008 |
Administration of influenza virus vaccine |
60 |
60 |
$406.00 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
15 |
$272.64 |
| 90686 |
|
27 |
27 |
$247.39 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$110.40 |
| 3079F |
|
1,934 |
1,831 |
$0.00 |
| 3075F |
|
1,074 |
1,027 |
$0.00 |
| 90647 |
|
377 |
372 |
$0.00 |
| 90723 |
|
484 |
483 |
$0.00 |
| 3008F |
|
6,789 |
6,087 |
$0.00 |
| 97802 |
|
703 |
678 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
645 |
621 |
$0.00 |
| 3074F |
|
4,942 |
4,508 |
$0.00 |
| 3080F |
|
195 |
178 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 3078F |
|
4,221 |
3,882 |
$0.00 |
| 3077F |
|
428 |
403 |
$0.00 |
| 1160F |
|
7,042 |
6,316 |
$0.00 |
| 97803 |
|
1,642 |
1,556 |
$0.00 |
| 1159F |
|
7,642 |
6,841 |
$0.00 |
| 90670 |
|
709 |
705 |
$0.00 |
| 99051 |
|
743 |
707 |
$0.00 |
| 2028F |
|
12 |
12 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |