| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,499 |
14,386 |
$1.50M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,579 |
7,314 |
$531K |
| 99215 |
Prolong outpt/office vis |
3,303 |
3,134 |
$399K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
590 |
590 |
$87K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
445 |
445 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
334 |
334 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,603 |
1,598 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
269 |
269 |
$26K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
182 |
182 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
402 |
391 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
826 |
815 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
3,706 |
3,506 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
777 |
764 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
52 |
52 |
$5K |
| 99205 |
Prolong outpt/office vis |
27 |
27 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
104 |
103 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
40 |
40 |
$4K |
| 99487 |
Ccm add 20min |
318 |
318 |
$4K |
| 99051 |
|
509 |
491 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
153 |
145 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
42 |
$2K |
| 99490 |
Ccm add 20min |
152 |
152 |
$860.72 |
| 90686 |
|
259 |
259 |
$840.92 |
| 99489 |
Ccm add 20min |
73 |
73 |
$551.00 |
| 90756 |
|
18 |
18 |
$430.00 |
| 90656 |
|
21 |
21 |
$342.60 |
| 96160 |
|
281 |
279 |
$4.76 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90651 |
|
46 |
46 |
$0.00 |