| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,270 |
1,164 |
$78K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
822 |
775 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
389 |
361 |
$34K |
| 99460 |
|
290 |
290 |
$25K |
| 54160 |
|
141 |
141 |
$18K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
111 |
111 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
526 |
518 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
257 |
257 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
33 |
32 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
44 |
15 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
74 |
28 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
19 |
19 |
$2K |
| 90474 |
|
69 |
69 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 99462 |
|
33 |
27 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
23 |
23 |
$892.51 |
| 87807 |
|
45 |
44 |
$529.76 |
| 90670 |
|
112 |
112 |
$200.95 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$190.94 |
| 36415 |
Collection of venous blood by venipuncture |
62 |
59 |
$138.65 |
| 90723 |
|
110 |
110 |
$135.85 |
| 90680 |
|
68 |
68 |
$68.21 |
| 90686 |
|
29 |
29 |
$17.12 |
| 90647 |
|
54 |
54 |
$0.00 |