| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99460 |
|
6,824 |
6,445 |
$361K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,503 |
7,226 |
$276K |
| 99462 |
|
8,580 |
6,202 |
$238K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,894 |
3,762 |
$223K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,076 |
1,856 |
$141K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,409 |
2,237 |
$130K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,577 |
1,549 |
$128K |
| 99222 |
Initial hospital care, per day, moderate complexity |
778 |
682 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
536 |
525 |
$44K |
| 99219 |
|
401 |
384 |
$44K |
| 99235 |
|
276 |
255 |
$36K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
598 |
258 |
$34K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,249 |
1,215 |
$24K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
148 |
142 |
$14K |
| 99217 |
|
134 |
128 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
87 |
87 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
54 |
$5K |
| 99381 |
|
66 |
55 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
16 |
15 |
$3K |
| 99218 |
|
22 |
22 |
$2K |
| 99220 |
|
13 |
13 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
18 |
16 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$596.95 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
39 |
$328.27 |
| 85018 |
|
120 |
116 |
$141.24 |
| 1111F |
|
371 |
362 |
$0.44 |
| 90656 |
|
29 |
29 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |