| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,573 |
17,869 |
$822K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,162 |
6,773 |
$416K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
472 |
465 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
633 |
622 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
242 |
241 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
912 |
868 |
$20K |
| 99215 |
Prolong outpt/office vis |
185 |
175 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
175 |
165 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
226 |
214 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,565 |
1,526 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
865 |
721 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
97 |
96 |
$7K |
| 90686 |
|
724 |
701 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
66 |
66 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
764 |
756 |
$5K |
| G0008 |
Administration of influenza virus vaccine |
458 |
455 |
$3K |
| 90715 |
|
77 |
76 |
$2K |
| 98926 |
|
79 |
66 |
$2K |
| 99406 |
|
159 |
155 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
145 |
134 |
$1K |
| 90670 |
|
112 |
106 |
$578.34 |
| 90688 |
|
18 |
18 |
$134.19 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
29 |
$102.79 |
| G0009 |
Administration of pneumococcal vaccine |
13 |
12 |
$84.00 |
| 96127 |
|
328 |
281 |
$63.87 |
| 81003 |
|
13 |
13 |
$24.31 |
| 3044F |
|
195 |
194 |
$0.00 |
| 3079F |
|
64 |
62 |
$0.00 |
| 3008F |
|
235 |
225 |
$0.00 |
| 3075F |
|
46 |
45 |
$0.00 |
| 3074F |
|
239 |
231 |
$0.00 |
| 3078F |
|
203 |
197 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 3046F |
|
28 |
27 |
$0.00 |
| 0502F |
|
50 |
15 |
$0.00 |