| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,890 |
23,764 |
$995K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,078 |
8,519 |
$503K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,687 |
940 |
$82K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,072 |
1,047 |
$39K |
| 99223 |
Prolong inpt eval add15 m |
475 |
429 |
$38K |
| 99233 |
Prolong inpt eval add15 m |
972 |
476 |
$37K |
| 90686 |
|
979 |
952 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
631 |
609 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
323 |
221 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
229 |
213 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
105 |
101 |
$8K |
| 90461 |
|
252 |
245 |
$8K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
157 |
145 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
52 |
48 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
386 |
357 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
15 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
88 |
43 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
24 |
19 |
$980.31 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$966.54 |
| 99307 |
|
136 |
126 |
$942.73 |
| 99222 |
Initial hospital care, per day, moderate complexity |
18 |
14 |
$773.51 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
32 |
12 |
$501.90 |
| 81003 |
|
289 |
224 |
$376.74 |
| 81025 |
|
44 |
41 |
$252.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$188.18 |
| 90633 |
|
61 |
60 |
$49.00 |