| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,494 |
19,530 |
$1.13M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,939 |
6,325 |
$272K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
643 |
515 |
$38K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
563 |
458 |
$31K |
| 99442 |
|
461 |
425 |
$19K |
| 96127 |
|
8,287 |
6,584 |
$19K |
| 93000 |
|
2,135 |
1,643 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,295 |
1,632 |
$12K |
| 99499 |
|
1,259 |
822 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
269 |
208 |
$10K |
| 90688 |
|
1,875 |
1,309 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
335 |
196 |
$9K |
| 99441 |
|
363 |
327 |
$9K |
| 99443 |
|
191 |
180 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
745 |
610 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
352 |
221 |
$2K |
| 81002 |
|
1,210 |
973 |
$862.51 |
| 94010 |
|
260 |
136 |
$641.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
122 |
99 |
$522.75 |
| 99173 |
|
466 |
397 |
$445.25 |
| 90662 |
|
212 |
163 |
$345.78 |
| 90715 |
|
63 |
42 |
$311.09 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
165 |
152 |
$295.22 |
| 94760 |
|
378 |
315 |
$251.74 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
12 |
$99.83 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
159 |
88 |
$85.23 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
25 |
$78.86 |
| 86580 |
|
28 |
24 |
$51.22 |
| G0008 |
Administration of influenza virus vaccine |
424 |
328 |
$19.34 |
| 99406 |
|
198 |
159 |
$15.39 |
| 82948 |
|
42 |
24 |
$5.04 |
| 3078F |
|
3,140 |
2,782 |
$0.00 |
| 3288F |
|
110 |
100 |
$0.00 |
| 3077F |
|
1,196 |
1,063 |
$0.00 |
| 1160F |
|
2,272 |
1,964 |
$0.00 |
| 1159F |
|
2,226 |
1,922 |
$0.00 |
| 1100F |
|
15 |
12 |
$0.00 |
| 3725F |
|
213 |
202 |
$0.00 |
| 4004F |
|
52 |
47 |
$0.00 |
| 96103 |
|
66 |
39 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$0.00 |
| 1126F |
|
2,834 |
2,482 |
$0.00 |
| 3075F |
|
1,507 |
1,358 |
$0.00 |
| 1101F |
|
537 |
486 |
$0.00 |
| 3080F |
|
676 |
605 |
$0.00 |
| 3008F |
|
3,888 |
3,336 |
$0.00 |
| 3079F |
|
3,319 |
2,924 |
$0.00 |
| 3074F |
|
4,521 |
3,952 |
$0.00 |
| 1125F |
|
1,875 |
1,671 |
$0.00 |
| 1170F |
|
148 |
122 |
$0.00 |
| 3044F |
|
92 |
80 |
$0.00 |