| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,252 |
7,841 |
$745K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,392 |
7,707 |
$534K |
| 99443 |
|
6,523 |
3,561 |
$210K |
| 94760 |
|
21,986 |
12,474 |
$20K |
| 87631 |
|
164 |
127 |
$15K |
| 99215 |
Prolong outpt/office vis |
177 |
113 |
$15K |
| 92015 |
Determination of refractive state |
239 |
199 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
66 |
61 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
25 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
367 |
256 |
$3K |
| 99401 |
|
160 |
79 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 90756 |
|
32 |
30 |
$669.29 |
| 93000 |
|
40 |
29 |
$355.86 |
| 81000 |
|
109 |
81 |
$209.44 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
75 |
38 |
$53.23 |