| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,100 |
7,530 |
$424K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,708 |
9,859 |
$381K |
| 99458 |
|
3,705 |
3,447 |
$193K |
| 99457 |
|
4,208 |
3,847 |
$95K |
| 99454 |
|
2,108 |
1,922 |
$72K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
426 |
399 |
$28K |
| 90674 |
|
1,008 |
957 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
283 |
265 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
927 |
878 |
$15K |
| 96132 |
|
105 |
105 |
$9K |
| 96118 |
|
133 |
129 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
119 |
117 |
$6K |
| 99215 |
Prolong outpt/office vis |
72 |
63 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
45 |
45 |
$4K |
| 99453 |
|
287 |
278 |
$3K |
| 96136 |
|
105 |
105 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
137 |
126 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
59 |
50 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
214 |
171 |
$2K |
| 99205 |
Prolong outpt/office vis |
28 |
26 |
$2K |
| 93000 |
|
141 |
135 |
$2K |
| 90661 |
|
61 |
52 |
$1K |
| 0004A |
|
12 |
12 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
264 |
246 |
$966.53 |
| 99401 |
|
33 |
33 |
$737.80 |
| 0064A |
|
24 |
24 |
$451.92 |
| 0124A |
|
13 |
12 |
$353.98 |
| 94010 |
|
13 |
13 |
$274.67 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
26 |
25 |
$109.91 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
37 |
34 |
$86.70 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
15 |
12 |
$80.80 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
18 |
18 |
$52.00 |
| 91300 |
|
41 |
33 |
$0.21 |
| 91312 |
|
13 |
12 |
$0.10 |
| 91306 |
|
24 |
24 |
$0.07 |