| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,720 |
6,822 |
$689K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,142 |
6,812 |
$482K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
942 |
855 |
$119K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
740 |
672 |
$61K |
| 99215 |
Prolong outpt/office vis |
234 |
207 |
$27K |
| 96158 |
|
381 |
266 |
$19K |
| 97802 |
|
316 |
260 |
$19K |
| 97803 |
|
418 |
338 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
5,222 |
4,711 |
$18K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
630 |
372 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
704 |
679 |
$13K |
| 96156 |
|
184 |
176 |
$13K |
| 98940 |
|
706 |
380 |
$12K |
| 91322 |
|
84 |
83 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
274 |
246 |
$9K |
| 99443 |
|
51 |
42 |
$4K |
| 90756 |
|
150 |
140 |
$3K |
| 90480 |
|
84 |
83 |
$3K |
| 90656 |
|
140 |
137 |
$3K |
| 0124A |
|
56 |
53 |
$2K |
| 90688 |
|
95 |
88 |
$1K |
| 90686 |
|
83 |
82 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
207 |
184 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
74 |
61 |
$1K |
| 99442 |
|
17 |
17 |
$950.62 |
| 90732 |
|
12 |
12 |
$932.58 |
| 90746 |
|
14 |
14 |
$914.94 |
| 99406 |
|
55 |
51 |
$547.76 |
| 96160 |
|
237 |
228 |
$508.72 |
| 0064A |
|
16 |
15 |
$443.81 |
| 99490 |
Ccm add 20min |
15 |
15 |
$415.27 |
| 98968 |
|
13 |
12 |
$343.67 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18 |
18 |
$305.63 |
| 97810 |
|
19 |
12 |
$227.68 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$175.56 |
| 97811 |
|
19 |
12 |
$113.92 |
| 81003 |
|
13 |
12 |
$14.22 |
| 91312 |
|
69 |
66 |
$0.01 |
| 91306 |
|
17 |
15 |
$0.00 |
| 91313 |
|
12 |
12 |
$0.00 |