| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,959 |
5,785 |
$151K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,528 |
2,407 |
$58K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
7,519 |
6,512 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
145 |
145 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
65 |
65 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
66 |
66 |
$629.64 |
| 99215 |
Prolong outpt/office vis |
102 |
101 |
$585.72 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
26 |
26 |
$454.62 |
| 90686 |
|
63 |
63 |
$376.93 |
| 93971 |
|
16 |
15 |
$251.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
67 |
66 |
$196.15 |
| 36415 |
Collection of venous blood by venipuncture |
51 |
49 |
$160.80 |
| 90656 |
|
12 |
12 |
$106.14 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
66 |
66 |
$84.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
52 |
$61.35 |
| 94760 |
|
18 |
13 |
$35.42 |
| 96127 |
|
42 |
41 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
32 |
32 |
$0.00 |