| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,265 |
1,182 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
19 |
19 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,829 |
3,569 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
504 |
499 |
$2K |
| 99460 |
|
26 |
26 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
17 |
17 |
$1K |
| 90688 |
|
206 |
206 |
$756.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
979 |
684 |
$671.52 |
| 92552 |
|
346 |
327 |
$556.90 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
105 |
105 |
$423.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
37 |
37 |
$416.02 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
15 |
$408.30 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
651 |
617 |
$335.29 |
| 90670 |
|
170 |
170 |
$315.00 |
| 90633 |
|
29 |
29 |
$162.00 |
| 85018 |
|
143 |
141 |
$157.01 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
88 |
86 |
$141.32 |
| 99173 |
|
342 |
325 |
$133.80 |
| 90657 |
|
26 |
26 |
$117.00 |
| 90713 |
|
13 |
13 |
$99.00 |
| 90700 |
|
29 |
29 |
$90.00 |
| 96156 |
|
50 |
50 |
$84.30 |
| 90710 |
|
12 |
12 |
$72.00 |
| 90698 |
|
16 |
16 |
$63.00 |
| 3008F |
|
2,544 |
2,410 |
$61.51 |
| G9920 |
Screening performed and negative |
46 |
46 |
$58.00 |
| 90648 |
|
14 |
14 |
$36.00 |
| 97803 |
|
42 |
42 |
$26.11 |
| 3074F |
|
1,835 |
1,746 |
$24.00 |
| 3078F |
|
1,627 |
1,557 |
$0.00 |
| 90461 |
|
283 |
280 |
$0.00 |
| 1159F |
|
121 |
117 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
101 |
101 |
$0.00 |
| 1160F |
|
12 |
12 |
$0.00 |
| 1125F |
|
29 |
28 |
$0.00 |
| 3079F |
|
479 |
463 |
$0.00 |
| 3075F |
|
109 |
109 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |