| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
489 |
425 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
95 |
82 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
66 |
63 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
33 |
27 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
62 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
452 |
299 |
$1K |
| 99460 |
|
14 |
13 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$777.15 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
22 |
13 |
$472.32 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
17 |
12 |
$462.64 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
177 |
104 |
$363.35 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
12 |
$342.11 |
| 90474 |
|
32 |
31 |
$110.10 |
| 71045 |
Radiologic examination, chest; single view |
141 |
126 |
$28.56 |
| 90680 |
|
33 |
32 |
$0.00 |
| 90686 |
|
124 |
78 |
$0.00 |
| 90647 |
|
30 |
27 |
$0.00 |
| 90723 |
|
41 |
38 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
46 |
43 |
$0.00 |
| 90670 |
|
58 |
54 |
$0.00 |
| 90633 |
|
13 |
12 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
14 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
89 |
60 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
13 |
13 |
$0.00 |