| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,615 |
7,510 |
$698K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,777 |
7,861 |
$492K |
| 98927 |
|
1,373 |
1,184 |
$34K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
288 |
285 |
$31K |
| 98928 |
|
720 |
641 |
$26K |
| 98926 |
|
1,273 |
1,012 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,239 |
1,176 |
$22K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,498 |
1,448 |
$13K |
| 90686 |
|
568 |
541 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
52 |
$8K |
| 96127 |
|
492 |
465 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,853 |
2,667 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
74 |
64 |
$6K |
| 90682 |
|
193 |
190 |
$5K |
| 0013A |
|
111 |
108 |
$4K |
| 99215 |
Prolong outpt/office vis |
35 |
26 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
29 |
$3K |
| 0012A |
|
51 |
51 |
$2K |
| 0011A |
|
62 |
61 |
$2K |
| 90715 |
|
39 |
31 |
$1K |
| 36416 |
|
817 |
781 |
$990.09 |
| 86580 |
|
142 |
117 |
$868.19 |
| 99442 |
|
15 |
15 |
$795.00 |
| 0134A |
|
13 |
12 |
$490.08 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
29 |
28 |
$330.15 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
14 |
$206.46 |
| 90658 |
|
14 |
14 |
$197.92 |
| 99000 |
|
50 |
45 |
$134.55 |
| 81002 |
|
35 |
32 |
$103.11 |
| 3079F |
|
2,400 |
2,243 |
$0.00 |
| 3080F |
|
759 |
689 |
$0.00 |
| 3008F |
|
8,450 |
7,510 |
$0.00 |
| 3074F |
|
6,627 |
5,950 |
$0.00 |
| 3044F |
|
834 |
810 |
$0.00 |
| 3075F |
|
589 |
553 |
$0.00 |
| 1160F |
|
5,544 |
4,976 |
$0.00 |
| 3078F |
|
4,115 |
3,714 |
$0.00 |
| 1159F |
|
5,184 |
4,667 |
$0.00 |
| 3077F |
|
406 |
364 |
$0.00 |