| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,756 |
15,751 |
$916K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
6,187 |
1,889 |
$188K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,659 |
1,519 |
$179K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,477 |
1,429 |
$122K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
437 |
437 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
194 |
194 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
222 |
200 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,064 |
1,057 |
$19K |
| 97014 |
|
1,410 |
479 |
$18K |
| 90461 |
|
245 |
245 |
$10K |
| 97164 |
|
188 |
187 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
982 |
949 |
$7K |
| 90686 |
|
1,348 |
1,337 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
44 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,418 |
1,351 |
$4K |
| 99307 |
|
310 |
273 |
$3K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
164 |
52 |
$1K |
| 90656 |
|
72 |
72 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 87400 |
|
63 |
62 |
$710.41 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
13 |
13 |
$198.51 |
| 81003 |
|
68 |
66 |
$133.07 |
| 96127 |
|
27 |
27 |
$74.44 |
| 36416 |
|
13 |
12 |
$32.99 |
| 90723 |
|
12 |
12 |
$0.00 |
| 3074F |
|
25 |
25 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 96160 |
|
128 |
128 |
$0.00 |
| 90670 |
|
38 |
38 |
$0.00 |
| 90648 |
|
52 |
52 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |