| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,714 |
10,797 |
$589K |
| 99215 |
Prolong outpt/office vis |
2,520 |
2,358 |
$159K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,288 |
1,211 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,465 |
1,177 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
775 |
738 |
$35K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
585 |
551 |
$29K |
| 99385 |
|
125 |
120 |
$7K |
| 90688 |
|
192 |
185 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,032 |
729 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
191 |
184 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
50 |
$1K |
| 99205 |
Prolong outpt/office vis |
18 |
18 |
$977.50 |
| 99386 |
|
13 |
13 |
$935.74 |
| 93000 |
|
69 |
68 |
$719.18 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$656.64 |
| 3044F |
|
13 |
12 |
$40.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
42 |
30 |
$0.29 |
| 3077F |
|
278 |
249 |
$0.00 |
| 3078F |
|
263 |
232 |
$0.00 |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
4,729 |
192 |
$0.00 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
22 |
14 |
$0.00 |
| 3080F |
|
245 |
225 |
$0.00 |
| 3079F |
|
279 |
246 |
$0.00 |
| 3075F |
|
187 |
165 |
$0.00 |
| 88141 |
|
128 |
39 |
$0.00 |
| 3074F |
|
321 |
281 |
$0.00 |
| 3048F |
|
21 |
18 |
$0.00 |