| Code | Description | Claims | Beneficiaries | Total Paid |
| 99460 |
|
400 |
353 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
869 |
777 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
404 |
371 |
$21K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
513 |
456 |
$19K |
| 54150 |
|
100 |
88 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
260 |
229 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
98 |
85 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
15 |
13 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
82 |
77 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
59 |
58 |
$720.80 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
14 |
$620.51 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55 |
51 |
$522.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
38 |
$373.23 |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$0.00 |
| 99462 |
|
201 |
168 |
$0.00 |