| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,584 |
10,230 |
$702K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,464 |
2,260 |
$199K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
555 |
489 |
$43K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
621 |
590 |
$33K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
150 |
141 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
148 |
143 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
128 |
124 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
732 |
700 |
$7K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,090 |
881 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
360 |
347 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
26 |
26 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
36 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
40 |
40 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
103 |
97 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
30 |
30 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
33 |
$619.96 |
| 90686 |
|
33 |
32 |
$346.50 |
| 90677 |
|
77 |
76 |
$310.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
26 |
$243.75 |
| 90688 |
|
13 |
12 |
$35.45 |
| 90723 |
|
55 |
54 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90648 |
|
38 |
38 |
$0.00 |
| 90670 |
|
57 |
55 |
$0.00 |