| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,165 |
13,131 |
$832K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,832 |
7,443 |
$606K |
| 90686 |
|
540 |
529 |
$4K |
| 0004A |
|
82 |
82 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
24 |
$2K |
| 0071A |
|
43 |
43 |
$2K |
| 90682 |
|
74 |
74 |
$2K |
| 0072A |
|
36 |
36 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90670 |
|
158 |
157 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
42 |
42 |
$964.62 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$894.74 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
109 |
87 |
$701.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$583.82 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
29 |
$578.89 |
| 0002A |
|
13 |
13 |
$566.00 |
| 96127 |
|
104 |
101 |
$399.37 |
| G0008 |
Administration of influenza virus vaccine |
47 |
45 |
$353.50 |
| 90734 |
|
106 |
105 |
$201.50 |
| 3078F |
|
212 |
201 |
$200.00 |
| 90710 |
|
33 |
33 |
$191.00 |
| 90715 |
|
85 |
85 |
$147.45 |
| 90723 |
|
40 |
40 |
$126.00 |
| 90647 |
|
56 |
56 |
$116.00 |
| 90696 |
|
12 |
12 |
$106.00 |
| 3074F |
|
181 |
169 |
$90.00 |
| 90656 |
|
84 |
84 |
$0.00 |
| 91307 |
|
91 |
74 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| 90677 |
|
18 |
18 |
$0.00 |