| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,235 |
9,820 |
$588K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,988 |
2,887 |
$119K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
460 |
441 |
$40K |
| 99215 |
Prolong outpt/office vis |
580 |
556 |
$37K |
| 96127 |
|
11,209 |
10,817 |
$32K |
| 90686 |
|
759 |
734 |
$6K |
| 3078F |
|
1,129 |
1,118 |
$5K |
| 3074F |
|
1,178 |
1,159 |
$5K |
| 99499 |
|
174 |
173 |
$5K |
| 3079F |
|
922 |
911 |
$4K |
| 3044F |
|
531 |
523 |
$3K |
| 99496 |
|
13 |
13 |
$3K |
| 99205 |
Prolong outpt/office vis |
25 |
24 |
$2K |
| 99490 |
Ccm add 20min |
899 |
873 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
69 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
38 |
$2K |
| 3075F |
|
345 |
342 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
725 |
654 |
$1K |
| 3077F |
|
364 |
363 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
13 |
$1K |
| 4010F |
|
876 |
859 |
$890.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$881.22 |
| 3046F |
|
137 |
134 |
$440.00 |
| 90662 |
|
43 |
42 |
$328.89 |
| 99484 |
|
115 |
110 |
$253.03 |
| 3051F |
|
35 |
33 |
$120.00 |
| 99406 |
|
15 |
14 |
$115.95 |
| 3080F |
|
14 |
14 |
$20.00 |
| G0008 |
Administration of influenza virus vaccine |
26 |
25 |
$17.23 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
53 |
52 |
$10.00 |
| 1126F |
|
656 |
643 |
$0.00 |
| 3061F |
|
199 |
196 |
$0.00 |
| 1170F |
|
340 |
335 |
$0.00 |
| 1111F |
|
17 |
14 |
$0.00 |
| G9920 |
Screening performed and negative |
2,192 |
2,119 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
687 |
680 |
$0.00 |
| 90746 |
|
74 |
74 |
$0.00 |
| 1160F |
|
40 |
39 |
$0.00 |
| 1159F |
|
575 |
565 |
$0.00 |
| 90715 |
|
88 |
88 |
$0.00 |