| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,736 |
9,385 |
$449K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,730 |
2,317 |
$75K |
| 99215 |
Prolong outpt/office vis |
1,201 |
1,024 |
$71K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
519 |
443 |
$29K |
| 99401 |
|
1,915 |
1,696 |
$24K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
286 |
264 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
220 |
203 |
$11K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
166 |
110 |
$8K |
| 99406 |
|
1,231 |
863 |
$3K |
| 99404 |
|
87 |
51 |
$2K |
| 80305 |
|
266 |
192 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
43 |
39 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
140 |
123 |
$2K |
| 99205 |
Prolong outpt/office vis |
21 |
17 |
$2K |
| 90688 |
|
111 |
94 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
47 |
$1K |
| 99403 |
|
67 |
38 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
479 |
377 |
$641.20 |
| 96127 |
|
442 |
334 |
$528.65 |
| 96160 |
|
574 |
454 |
$350.10 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
52 |
39 |
$333.27 |
| 90756 |
|
13 |
12 |
$205.11 |
| 96161 |
|
48 |
38 |
$112.20 |
| 3077F |
|
58 |
50 |
$30.00 |
| 3080F |
|
44 |
40 |
$30.00 |
| 81005 |
|
31 |
18 |
$16.86 |
| 3078F |
|
55 |
46 |
$15.00 |
| 3074F |
|
149 |
120 |
$15.00 |
| 3725F |
|
1,838 |
1,449 |
$0.00 |
| 4551F |
|
46 |
34 |
$0.00 |
| 4004F |
|
525 |
431 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
56 |
52 |
$0.00 |
| 1159F |
|
25 |
19 |
$0.00 |
| 1160F |
|
35 |
27 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
36 |
34 |
$0.00 |
| 1158F |
|
17 |
12 |
$0.00 |
| 1034F |
|
238 |
204 |
$0.00 |
| 99000 |
|
87 |
74 |
$0.00 |
| 3008F |
|
2,453 |
1,917 |
$0.00 |
| 0545F |
|
203 |
142 |
$0.00 |
| 1030F |
|
109 |
94 |
$0.00 |
| 1000F |
|
173 |
123 |
$0.00 |
| 1220F |
|
59 |
40 |
$0.00 |
| 1170F |
|
17 |
15 |
$0.00 |
| 2001F |
|
20 |
16 |
$0.00 |
| 2060F |
|
28 |
19 |
$0.00 |