| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,183 |
8,830 |
$458K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,695 |
4,562 |
$159K |
| 99215 |
Prolong outpt/office vis |
1,464 |
1,404 |
$101K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
433 |
433 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
427 |
424 |
$36K |
| 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) |
3,546 |
3,457 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
239 |
237 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
962 |
903 |
$16K |
| 90686 |
|
1,331 |
1,326 |
$12K |
| G0008 |
Administration of influenza virus vaccine |
808 |
791 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
84 |
82 |
$6K |
| 90651 |
|
14 |
14 |
$2K |
| 90670 |
|
91 |
91 |
$2K |
| 90750 |
|
12 |
12 |
$1K |
| 90656 |
|
305 |
305 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
96 |
95 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
100 |
100 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$857.92 |
| 90734 |
|
63 |
63 |
$416.50 |
| 90715 |
|
45 |
45 |
$402.09 |
| 90647 |
|
28 |
28 |
$292.60 |
| 90723 |
|
27 |
27 |
$282.30 |
| 90680 |
|
24 |
24 |
$251.40 |
| 85610 |
|
39 |
26 |
$160.88 |
| G0009 |
Administration of pneumococcal vaccine |
12 |
12 |
$113.30 |
| 36415 |
Collection of venous blood by venipuncture |
60 |
56 |
$96.90 |
| 90633 |
|
12 |
12 |
$83.30 |
| 81003 |
|
14 |
14 |
$44.12 |
| 83655 |
|
42 |
42 |
$23.00 |
| 3078F |
|
12 |
12 |
$20.00 |
| 3074F |
|
13 |
13 |
$20.00 |
| 92551 |
|
128 |
128 |
$18.40 |
| 99173 |
|
138 |
138 |
$10.35 |
| 96127 |
|
13 |
13 |
$4.60 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
152 |
150 |
$0.00 |
| 90677 |
|
176 |
176 |
$0.00 |
| 3008F |
|
25 |
25 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
54 |
53 |
$0.00 |