| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,464 |
7,483 |
$255K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,964 |
4,488 |
$235K |
| 62323 |
|
390 |
368 |
$36K |
| 20610 |
|
959 |
852 |
$29K |
| 72110 |
|
963 |
935 |
$25K |
| 73610 |
|
1,034 |
956 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
360 |
343 |
$23K |
| 73630 |
|
861 |
813 |
$17K |
| 73562 |
|
698 |
650 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
141 |
132 |
$11K |
| 99307 |
|
1,312 |
1,242 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,111 |
712 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
145 |
135 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
833 |
650 |
$4K |
| 99310 |
Prolong nursin fac eval 15m |
559 |
483 |
$4K |
| 64493 |
|
44 |
38 |
$3K |
| 73110 |
|
184 |
159 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
59 |
58 |
$3K |
| 72050 |
|
92 |
87 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
33 |
33 |
$2K |
| 73030 |
|
131 |
125 |
$2K |
| 73502 |
|
84 |
78 |
$2K |
| 62321 |
|
13 |
13 |
$1K |
| 99335 |
|
130 |
77 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
16 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$840.00 |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$784.76 |
| 64494 |
|
14 |
13 |
$610.04 |
| 77002 |
|
13 |
12 |
$523.06 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
29 |
$450.01 |
| 73130 |
|
12 |
12 |
$339.27 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
63 |
59 |
$322.60 |
| 90686 |
|
69 |
61 |
$195.43 |
| 36415 |
Collection of venous blood by venipuncture |
368 |
327 |
$94.36 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
12 |
12 |
$67.87 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
12 |
$40.87 |
| 99441 |
|
23 |
19 |
$4.66 |