| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,619 |
3,221 |
$261K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,395 |
4,052 |
$228K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,175 |
1,039 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
817 |
783 |
$62K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
244 |
241 |
$18K |
| 90700 |
|
963 |
906 |
$11K |
| 90670 |
|
468 |
446 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
738 |
329 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
664 |
579 |
$8K |
| 92552 |
|
301 |
282 |
$7K |
| 90713 |
|
550 |
509 |
$7K |
| 90648 |
|
450 |
429 |
$5K |
| 99460 |
|
67 |
65 |
$5K |
| 90680 |
|
155 |
148 |
$3K |
| 99000 |
|
1,081 |
974 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
26 |
$2K |
| 99188 |
|
97 |
92 |
$2K |
| 90707 |
|
77 |
72 |
$1K |
| 90716 |
|
59 |
58 |
$1K |
| 90685 |
|
69 |
65 |
$800.33 |
| 85013 |
|
333 |
309 |
$773.13 |
| 90651 |
|
18 |
12 |
$759.60 |
| 90672 |
|
63 |
57 |
$731.93 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
13 |
$729.42 |
| 90686 |
|
60 |
59 |
$639.85 |
| 90744 |
|
54 |
53 |
$636.55 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
40 |
37 |
$505.39 |
| 90687 |
|
52 |
48 |
$488.69 |
| 81003 |
|
195 |
175 |
$412.67 |
| 90633 |
|
28 |
25 |
$365.00 |
| 99173 |
|
130 |
120 |
$284.94 |
| 99051 |
|
93 |
89 |
$242.89 |
| 90688 |
|
22 |
16 |
$206.56 |
| 96127 |
|
28 |
27 |
$128.58 |
| 36416 |
|
17 |
15 |
$3.18 |