| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,422 |
6,968 |
$368K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,379 |
3,795 |
$129K |
| 99215 |
Prolong outpt/office vis |
1,377 |
1,225 |
$80K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
876 |
777 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
613 |
555 |
$26K |
| 99385 |
|
221 |
191 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
245 |
211 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
957 |
759 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
644 |
248 |
$5K |
| 93000 |
|
390 |
348 |
$4K |
| 90686 |
|
298 |
269 |
$3K |
| 80305 |
|
449 |
377 |
$3K |
| 90756 |
|
298 |
207 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
414 |
330 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
129 |
125 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
33 |
$2K |
| 81025 |
|
596 |
472 |
$2K |
| 87905 |
|
236 |
212 |
$2K |
| 87808 |
|
235 |
206 |
$2K |
| 99051 |
|
135 |
130 |
$2K |
| 99386 |
|
17 |
16 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
108 |
84 |
$1K |
| 90714 |
|
46 |
41 |
$896.13 |
| 92551 |
|
134 |
110 |
$873.03 |
| 96127 |
|
432 |
183 |
$837.67 |
| 90688 |
|
80 |
55 |
$787.85 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$396.94 |
| 81003 |
|
315 |
265 |
$345.47 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
28 |
$293.35 |
| 82962 |
|
111 |
90 |
$172.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
13 |
$164.34 |
| 96160 |
|
128 |
94 |
$163.32 |
| 99173 |
|
101 |
84 |
$149.06 |
| 85018 |
|
33 |
31 |
$60.48 |
| 99406 |
|
13 |
12 |
$22.54 |
| 36416 |
|
124 |
99 |
$0.00 |
| 90661 |
|
18 |
14 |
$0.00 |