| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,842 |
6,895 |
$450K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,358 |
3,682 |
$342K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
494 |
445 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
465 |
380 |
$37K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
257 |
227 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
275 |
227 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
612 |
486 |
$7K |
| 96127 |
|
280 |
272 |
$6K |
| 80305 |
|
611 |
558 |
$5K |
| 99000 |
|
189 |
150 |
$4K |
| 90651 |
|
201 |
134 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
126 |
118 |
$3K |
| 90619 |
|
182 |
148 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
33 |
31 |
$3K |
| 90686 |
|
125 |
99 |
$2K |
| 93000 |
|
75 |
66 |
$2K |
| 90715 |
|
82 |
57 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
14 |
$758.47 |
| 90633 |
|
55 |
27 |
$621.94 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
13 |
$600.61 |
| 36415 |
Collection of venous blood by venipuncture |
1,513 |
1,268 |
$500.11 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
34 |
31 |
$496.40 |
| 90734 |
|
68 |
46 |
$435.20 |
| 81002 |
|
104 |
83 |
$263.90 |
| 90656 |
|
13 |
12 |
$235.05 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
13 |
$196.20 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
83 |
61 |
$140.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
290 |
195 |
$3.41 |
| 3008F |
|
6,401 |
4,953 |
$0.00 |
| 3074F |
|
697 |
579 |
$0.00 |
| 3075F |
|
63 |
58 |
$0.00 |