| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,992 |
9,492 |
$521K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,379 |
4,763 |
$308K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,214 |
917 |
$94K |
| 99199 |
Unlisted special service, procedure or report |
29,612 |
28,246 |
$91K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,979 |
1,510 |
$60K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,632 |
2,730 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
443 |
388 |
$43K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,841 |
1,430 |
$42K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
32 |
24 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
4,841 |
3,690 |
$8K |
| 90677 |
|
285 |
262 |
$6K |
| 81003 |
|
2,179 |
1,311 |
$3K |
| 90474 |
|
181 |
133 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
153 |
39 |
$2K |
| 90686 |
|
641 |
382 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
47 |
43 |
$2K |
| 81025 |
|
278 |
214 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
109 |
74 |
$1K |
| 99460 |
|
12 |
12 |
$986.71 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
65 |
59 |
$816.62 |
| 99462 |
|
31 |
13 |
$644.88 |
| 90670 |
|
652 |
465 |
$595.61 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
14 |
$479.32 |
| 90656 |
|
66 |
57 |
$329.38 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25 |
15 |
$120.78 |
| 90710 |
|
31 |
27 |
$0.00 |
| 90633 |
|
47 |
44 |
$0.00 |
| 90680 |
|
193 |
144 |
$0.00 |
| 90698 |
|
291 |
208 |
$0.00 |
| 90744 |
|
77 |
59 |
$0.00 |
| 90697 |
|
210 |
184 |
$0.00 |