| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,988 |
3,714 |
$175K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,207 |
2,927 |
$110K |
| 99401 |
|
3,379 |
3,159 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
752 |
673 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
76 |
75 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
92 |
86 |
$4K |
| 99497 |
|
168 |
163 |
$3K |
| 99385 |
|
37 |
36 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
71 |
68 |
$1K |
| 99354 |
|
22 |
22 |
$1K |
| 96127 |
|
507 |
435 |
$926.90 |
| 90674 |
|
50 |
50 |
$898.81 |
| 99215 |
Prolong outpt/office vis |
17 |
15 |
$877.61 |
| 99402 |
|
59 |
40 |
$435.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
33 |
$372.75 |
| 36415 |
Collection of venous blood by venipuncture |
325 |
255 |
$344.51 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
12 |
$256.10 |
| 99442 |
|
60 |
50 |
$161.66 |
| 90688 |
|
12 |
12 |
$113.04 |
| 99417 |
Prolong home eval add 15m |
18 |
16 |
$101.53 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$72.97 |
| 99000 |
|
635 |
561 |
$37.50 |
| 3008F |
|
41 |
41 |
$20.00 |
| 82962 |
|
40 |
26 |
$11.70 |
| 99173 |
|
28 |
26 |
$2.19 |
| 1157F |
|
17 |
17 |
$0.00 |