| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33,335 |
26,694 |
$2.05M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,388 |
13,409 |
$825K |
| 99215 |
Prolong outpt/office vis |
6,751 |
6,167 |
$472K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,591 |
2,551 |
$239K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,817 |
1,782 |
$160K |
| 99385 |
|
1,322 |
1,295 |
$125K |
| 99386 |
|
616 |
606 |
$67K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
913 |
889 |
$61K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
578 |
553 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
397 |
395 |
$34K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,028 |
1,764 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
218 |
217 |
$16K |
| 99397 |
|
294 |
293 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
800 |
787 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
399 |
381 |
$10K |
| 90756 |
|
505 |
475 |
$7K |
| 90686 |
|
487 |
471 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
173 |
159 |
$5K |
| 99205 |
Prolong outpt/office vis |
19 |
19 |
$3K |
| 81002 |
|
906 |
815 |
$2K |
| 90656 |
|
159 |
159 |
$2K |
| 0012A |
|
74 |
74 |
$2K |
| 93000 |
|
124 |
119 |
$1K |
| 0011A |
|
106 |
104 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
104 |
95 |
$1K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
226 |
208 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
43 |
42 |
$977.25 |
| 99173 |
|
618 |
566 |
$858.63 |
| 36415 |
Collection of venous blood by venipuncture |
277 |
272 |
$798.05 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
187 |
178 |
$689.40 |
| 99497 |
|
15 |
12 |
$671.95 |
| 90661 |
|
31 |
30 |
$575.41 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
13 |
$503.06 |
| 90694 |
|
13 |
12 |
$389.39 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
255 |
222 |
$366.03 |
| 82962 |
|
122 |
104 |
$289.77 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
23 |
21 |
$276.84 |
| 90653 |
|
13 |
13 |
$208.59 |
| 90662 |
|
27 |
25 |
$200.40 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
124 |
117 |
$176.62 |
| G0008 |
Administration of influenza virus vaccine |
92 |
90 |
$26.22 |
| 1101F |
|
1,642 |
1,416 |
$0.07 |
| 1111F |
|
12 |
12 |
$0.00 |
| 91301 |
|
39 |
39 |
$0.00 |
| 90649 |
|
15 |
13 |
$0.00 |