| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,528 |
3,932 |
$174K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,314 |
2,052 |
$122K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,592 |
1,317 |
$30K |
| 99305 |
|
450 |
393 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
104 |
101 |
$9K |
| 90756 |
|
402 |
386 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
749 |
678 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,156 |
2,006 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
53 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
256 |
231 |
$4K |
| 90688 |
|
185 |
159 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
120 |
60 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$1K |
| 99386 |
|
14 |
13 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
27 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
97 |
95 |
$954.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$141.16 |