| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39,207 |
35,216 |
$2.24M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,751 |
11,864 |
$508K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,490 |
5,175 |
$127K |
| 99051 |
|
5,908 |
5,598 |
$93K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,063 |
1,023 |
$63K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
666 |
619 |
$40K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
558 |
533 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,442 |
1,338 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
475 |
401 |
$18K |
| 81025 |
|
2,249 |
2,137 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
4,344 |
4,054 |
$8K |
| 99407 |
|
1,020 |
870 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
67 |
63 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
39 |
$4K |
| 90756 |
|
357 |
312 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
176 |
165 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
38 |
$3K |
| 93922 |
|
40 |
38 |
$2K |
| 81002 |
|
1,075 |
1,018 |
$2K |
| 90686 |
|
426 |
423 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$2K |
| 87428 |
|
50 |
50 |
$1K |
| 96160 |
|
638 |
615 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
92 |
87 |
$585.71 |
| 90658 |
|
31 |
30 |
$480.93 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$470.50 |
| 99402 |
|
17 |
15 |
$437.32 |
| 20610 |
|
14 |
13 |
$399.28 |
| 90688 |
|
137 |
105 |
$321.34 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
91 |
84 |
$32.41 |
| G0008 |
Administration of influenza virus vaccine |
170 |
120 |
$0.00 |
| 90674 |
|
81 |
80 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
36 |
32 |
$0.00 |
| 3075F |
|
13 |
13 |
$0.00 |
| 3079F |
|
31 |
26 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |