| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,227 |
8,391 |
$616K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,378 |
6,740 |
$374K |
| 99215 |
Prolong outpt/office vis |
493 |
473 |
$46K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
402 |
380 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
64 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
42 |
40 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
38 |
$3K |
| 96127 |
|
593 |
579 |
$3K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
43 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$456.17 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
31 |
28 |
$417.70 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
18 |
$247.08 |
| 99490 |
Ccm add 20min |
12 |
12 |
$70.44 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
24 |
$68.03 |
| 99000 |
|
12 |
12 |
$5.00 |