| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,054 |
3,706 |
$187K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
880 |
756 |
$62K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
617 |
605 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
302 |
298 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
250 |
233 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,128 |
1,087 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,153 |
2,014 |
$16K |
| 86403 |
|
277 |
271 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$2K |
| 83655 |
|
141 |
137 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
152 |
148 |
$2K |
| 90670 |
|
481 |
464 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
168 |
78 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
38 |
$1K |
| 99460 |
|
17 |
14 |
$818.46 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
12 |
$569.99 |
| 90680 |
|
197 |
187 |
$525.62 |
| 36416 |
|
167 |
161 |
$477.04 |
| 90744 |
|
200 |
186 |
$460.81 |
| 85018 |
|
165 |
159 |
$446.55 |
| 90651 |
|
14 |
14 |
$214.32 |
| 90633 |
|
230 |
224 |
$205.68 |
| 90700 |
|
156 |
146 |
$183.70 |
| 81002 |
|
44 |
41 |
$142.68 |
| 90698 |
|
295 |
283 |
$135.01 |
| 90716 |
|
18 |
18 |
$117.80 |
| 90713 |
|
46 |
41 |
$99.02 |
| 90707 |
|
16 |
16 |
$72.10 |
| 90648 |
|
70 |
65 |
$32.57 |
| 90686 |
|
180 |
178 |
$13.00 |
| 90685 |
|
78 |
78 |
$3.00 |
| 90473 |
|
15 |
15 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |