| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,852 |
6,923 |
$420K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,855 |
3,510 |
$280K |
| 99408 |
|
1,455 |
1,292 |
$24K |
| 80305 |
|
1,991 |
1,611 |
$16K |
| 99406 |
|
1,663 |
1,522 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
138 |
127 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
29 |
$3K |
| 96127 |
|
886 |
824 |
$2K |
| 90674 |
|
59 |
55 |
$1K |
| 99401 |
|
57 |
52 |
$1K |
| 96160 |
|
254 |
247 |
$792.19 |
| 99490 |
Ccm add 20min |
31 |
31 |
$665.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
65 |
61 |
$473.82 |
| 93000 |
|
14 |
14 |
$135.51 |
| 81002 |
|
32 |
31 |
$68.69 |
| 3078F |
|
1,570 |
1,469 |
$1.47 |
| 3074F |
|
1,569 |
1,465 |
$1.45 |
| 3008F |
|
117 |
116 |
$0.16 |
| 1125F |
|
92 |
91 |
$0.10 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
15 |
14 |
$0.00 |
| 1159F |
|
23 |
23 |
$0.00 |
| 1160F |
|
18 |
18 |
$0.00 |
| 3044F |
|
30 |
27 |
$0.00 |