| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,728 |
5,859 |
$363K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,821 |
1,608 |
$61K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
755 |
723 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
130 |
118 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
995 |
776 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
975 |
388 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
322 |
306 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
59 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
35 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33 |
33 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
28 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17 |
16 |
$1K |
| 87807 |
|
74 |
62 |
$721.48 |
| 81002 |
|
341 |
303 |
$605.70 |
| 36415 |
Collection of venous blood by venipuncture |
317 |
291 |
$481.86 |
| 99050 |
|
44 |
39 |
$455.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
125 |
93 |
$363.68 |
| 92551 |
|
35 |
31 |
$155.19 |
| 90686 |
|
238 |
230 |
$95.15 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
12 |
$71.20 |
| 99173 |
|
57 |
54 |
$69.53 |
| 85018 |
|
13 |
12 |
$17.01 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
14 |
$7.33 |
| G0008 |
Administration of influenza virus vaccine |
44 |
44 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 2001F |
|
56 |
50 |
$0.00 |
| 3008F |
|
29 |
27 |
$0.00 |
| 2000F |
|
18 |
16 |
$0.00 |
| 90670 |
|
39 |
37 |
$0.00 |
| 90633 |
|
26 |
25 |
$0.00 |