| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,025 |
3,886 |
$134K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,458 |
1,394 |
$37K |
| 96127 |
|
5,384 |
5,202 |
$11K |
| 99499 |
|
339 |
326 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
123 |
115 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
63 |
62 |
$2K |
| 90686 |
|
327 |
326 |
$2K |
| 99215 |
Prolong outpt/office vis |
43 |
43 |
$2K |
| 99490 |
Ccm add 20min |
461 |
441 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$1K |
| 3078F |
|
246 |
235 |
$709.99 |
| 3074F |
|
240 |
236 |
$670.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
53 |
$333.00 |
| 3079F |
|
79 |
78 |
$130.00 |
| 82962 |
|
84 |
83 |
$56.16 |
| 3044F |
|
13 |
12 |
$50.00 |
| 36415 |
Collection of venous blood by venipuncture |
141 |
139 |
$35.43 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$32.78 |
| 99484 |
|
12 |
12 |
$32.71 |
| 3077F |
|
29 |
29 |
$30.00 |
| 3075F |
|
15 |
15 |
$10.00 |
| 94760 |
|
12 |
12 |
$0.54 |
| 4010F |
|
32 |
32 |
$0.00 |
| 1126F |
|
14 |
14 |
$0.00 |
| 1170F |
|
43 |
42 |
$0.00 |
| 3061F |
|
12 |
12 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| G9920 |
Screening performed and negative |
2,210 |
2,134 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
299 |
287 |
$0.00 |
| 1159F |
|
13 |
12 |
$0.00 |
| 1160F |
|
13 |
12 |
$0.00 |