| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,219 |
7,841 |
$575K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,824 |
5,602 |
$287K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,046 |
1,044 |
$105K |
| 99215 |
Prolong outpt/office vis |
528 |
499 |
$55K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
601 |
601 |
$54K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,195 |
479 |
$43K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
466 |
466 |
$40K |
| 90837 |
Psychotherapy, 53 minutes with patient |
271 |
191 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,766 |
1,746 |
$20K |
| 90677 |
|
72 |
72 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
214 |
213 |
$15K |
| 90686 |
|
789 |
783 |
$13K |
| 99205 |
Prolong outpt/office vis |
98 |
98 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
251 |
101 |
$12K |
| 90746 |
|
171 |
169 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,535 |
1,525 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
144 |
138 |
$5K |
| 99221 |
|
73 |
72 |
$4K |
| 96127 |
|
909 |
898 |
$3K |
| 99218 |
|
63 |
62 |
$3K |
| 90682 |
|
65 |
65 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
174 |
174 |
$3K |
| 99417 |
Prolong home eval add 15m |
44 |
43 |
$2K |
| 99217 |
|
50 |
49 |
$2K |
| 90715 |
|
55 |
54 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$1K |
| 99253 |
|
13 |
12 |
$772.56 |
| 90656 |
|
42 |
42 |
$770.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
14 |
13 |
$742.76 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$570.87 |
| 99252 |
|
12 |
12 |
$501.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
25 |
$188.31 |
| 99406 |
|
12 |
12 |
$106.85 |
| G0008 |
Administration of influenza virus vaccine |
60 |
60 |
$30.03 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$12.87 |
| 3074F |
|
4,049 |
3,905 |
$0.00 |
| 3080F |
|
1,008 |
972 |
$0.00 |
| 3075F |
|
2,002 |
1,962 |
$0.00 |
| 3079F |
|
2,082 |
2,045 |
$0.00 |
| 3044F |
|
263 |
262 |
$0.00 |
| 3078F |
|
5,703 |
5,476 |
$0.00 |
| 3077F |
|
2,637 |
2,534 |
$0.00 |
| 3046F |
|
18 |
18 |
$0.00 |