| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,574 |
3,805 |
$383K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
791 |
758 |
$104K |
| 99402 |
|
1,141 |
1,022 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
776 |
731 |
$48K |
| 99401 |
|
1,430 |
1,269 |
$45K |
| 99407 |
|
542 |
474 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
447 |
376 |
$8K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
37 |
37 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,735 |
1,601 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
264 |
253 |
$4K |
| 99454 |
|
207 |
188 |
$4K |
| 99408 |
|
129 |
111 |
$3K |
| 99497 |
|
66 |
63 |
$3K |
| 99457 |
|
177 |
163 |
$3K |
| 99383 |
|
18 |
18 |
$2K |
| 90756 |
|
101 |
99 |
$2K |
| 90674 |
|
84 |
83 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
106 |
99 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
101 |
91 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
63 |
47 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$1K |
| 93000 |
|
56 |
53 |
$1K |
| 83013 |
|
14 |
14 |
$943.04 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
13 |
13 |
$334.31 |
| 99490 |
Ccm add 20min |
37 |
36 |
$258.40 |
| 99173 |
|
20 |
19 |
$191.71 |
| 80305 |
|
14 |
13 |
$153.34 |
| 83014 |
|
14 |
14 |
$110.04 |