| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
88,156 |
52,556 |
$572K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,794 |
2,915 |
$203K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,761 |
3,025 |
$170K |
| 96127 |
|
1,374 |
1,041 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
158 |
133 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
24 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 81025 |
|
89 |
65 |
$531.19 |
| 36415 |
Collection of venous blood by venipuncture |
153 |
114 |
$229.38 |
| 81003 |
|
112 |
96 |
$204.05 |
| 90688 |
|
41 |
31 |
$179.85 |
| 96160 |
|
62 |
53 |
$159.22 |
| 90756 |
|
18 |
12 |
$79.80 |
| 99173 |
|
56 |
43 |
$1.00 |
| 1160F |
|
563 |
432 |
$0.00 |
| 1159F |
|
418 |
321 |
$0.00 |
| 3078F |
|
440 |
350 |
$0.00 |
| 3725F |
|
131 |
108 |
$0.00 |
| 3074F |
|
501 |
401 |
$0.00 |
| 3008F |
|
693 |
559 |
$0.00 |
| 3079F |
|
127 |
105 |
$0.00 |
| 90686 |
|
28 |
25 |
$0.00 |