| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,833 |
2,672 |
$200K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,728 |
2,388 |
$130K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
605 |
596 |
$54K |
| 99215 |
Prolong outpt/office vis |
423 |
411 |
$36K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
387 |
382 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
701 |
693 |
$10K |
| 90756 |
|
410 |
406 |
$9K |
| 99401 |
|
268 |
240 |
$6K |
| 90688 |
|
245 |
244 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
156 |
150 |
$3K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
14 |
12 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,386 |
1,349 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
327 |
292 |
$2K |
| 90658 |
|
39 |
39 |
$674.51 |
| 99406 |
|
60 |
55 |
$479.26 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
502 |
494 |
$408.22 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
15 |
15 |
$345.45 |
| 99072 |
|
206 |
168 |
$0.00 |