| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,144 |
13,401 |
$442K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,400 |
9,109 |
$429K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
429 |
417 |
$34K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
501 |
481 |
$29K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
431 |
415 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
476 |
450 |
$22K |
| 99335 |
|
335 |
334 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
99 |
99 |
$8K |
| 97169 |
|
134 |
133 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
366 |
347 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
241 |
126 |
$2K |
| 99385 |
|
24 |
24 |
$2K |
| 99497 |
|
151 |
131 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$879.95 |
| 82947 |
|
518 |
462 |
$864.29 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
146 |
141 |
$746.82 |
| 0012A |
|
54 |
54 |
$679.94 |
| 0011A |
|
62 |
61 |
$455.68 |
| 94060 |
|
19 |
16 |
$347.01 |
| 81003 |
|
313 |
286 |
$296.88 |
| 90461 |
|
34 |
30 |
$274.95 |
| 99080 |
|
135 |
134 |
$265.00 |
| 90756 |
|
13 |
13 |
$251.10 |
| 94727 |
|
19 |
16 |
$189.46 |
| 94729 |
|
20 |
16 |
$144.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$94.08 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
16 |
$63.52 |
| 91301 |
|
115 |
114 |
$0.09 |
| 1126F |
|
252 |
221 |
$0.00 |
| 1125F |
|
144 |
123 |
$0.00 |
| 1170F |
|
795 |
686 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
114 |
110 |
$0.00 |
| 3074F |
|
149 |
141 |
$0.00 |
| 3079F |
|
49 |
47 |
$0.00 |
| 90686 |
|
61 |
61 |
$0.00 |
| 90651 |
|
27 |
27 |
$0.00 |
| 93000 |
|
12 |
12 |
$0.00 |
| 1158F |
|
50 |
43 |
$0.00 |
| 1159F |
|
63 |
54 |
$0.00 |
| 3078F |
|
138 |
129 |
$0.00 |
| 90734 |
|
28 |
28 |
$0.00 |
| 3077F |
|
14 |
13 |
$0.00 |
| 1160F |
|
85 |
74 |
$0.00 |