| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,461 |
1,333 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
750 |
694 |
$37K |
| 99401 |
|
1,026 |
942 |
$22K |
| 99490 |
Ccm add 20min |
523 |
522 |
$5K |
| 99487 |
Ccm add 20min |
66 |
66 |
$3K |
| 93000 |
|
225 |
221 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
121 |
113 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$2K |
| 94010 |
|
58 |
57 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
51 |
$950.92 |
| 90756 |
|
25 |
25 |
$455.97 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
33 |
29 |
$308.00 |
| 99497 |
|
21 |
21 |
$45.33 |
| 36415 |
Collection of venous blood by venipuncture |
187 |
174 |
$26.93 |
| 99402 |
|
13 |
13 |
$19.98 |
| 3078F |
|
76 |
71 |
$0.00 |
| 3077F |
|
15 |
14 |
$0.00 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
201 |
197 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |
| 3074F |
|
70 |
63 |
$0.00 |
| 3008F |
|
17 |
17 |
$0.00 |
| 3079F |
|
16 |
16 |
$0.00 |
| 2010F |
|
13 |
12 |
$0.00 |