| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,850 |
9,974 |
$797K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,492 |
2,133 |
$122K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,206 |
1,766 |
$100K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
923 |
625 |
$35K |
| 99222 |
Initial hospital care, per day, moderate complexity |
460 |
422 |
$31K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
385 |
348 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
280 |
194 |
$11K |
| 54150 |
|
61 |
53 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
76 |
52 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
81 |
55 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
176 |
147 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
121 |
50 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
529 |
247 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
60 |
49 |
$630.63 |
| 99406 |
|
50 |
25 |
$460.00 |
| 96127 |
|
65 |
29 |
$123.52 |