| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,112 |
3,025 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,423 |
1,678 |
$82K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
658 |
447 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
574 |
380 |
$46K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,067 |
447 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
139 |
129 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
118 |
84 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
377 |
274 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,527 |
868 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
938 |
515 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
401 |
249 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
562 |
344 |
$6K |
| 90870 |
|
301 |
67 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,098 |
181 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
263 |
143 |
$4K |
| 99460 |
|
39 |
39 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
103 |
95 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
55 |
29 |
$1K |
| 81003 |
|
561 |
405 |
$929.29 |
| 99215 |
Prolong outpt/office vis |
40 |
39 |
$678.83 |
| 90688 |
|
85 |
50 |
$478.96 |
| 90474 |
|
87 |
46 |
$402.72 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
334 |
173 |
$359.26 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
12 |
$205.09 |
| 93000 |
|
153 |
74 |
$200.95 |
| 90670 |
|
144 |
87 |
$188.26 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
32 |
21 |
$156.00 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
22 |
13 |
$140.94 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
176 |
149 |
$138.08 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
61 |
48 |
$110.60 |
| 90680 |
|
20 |
15 |
$86.25 |
| 90723 |
|
31 |
21 |
$74.60 |
| 90633 |
|
62 |
48 |
$68.33 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
22 |
$35.22 |
| 99173 |
|
14 |
12 |
$15.90 |
| 59425 |
|
78 |
47 |
$10.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
84 |
82 |
$0.00 |
| 90698 |
|
22 |
12 |
$0.00 |
| 90686 |
|
19 |
17 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
105 |
93 |
$0.00 |
| 99221 |
|
86 |
53 |
$0.00 |
| 90648 |
|
27 |
20 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
25 |
$0.00 |