| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
201,831 |
198,364 |
$1.03M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
746 |
565 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
642 |
440 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,356 |
1,822 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
820 |
661 |
$20K |
| 87210 |
|
3,397 |
2,511 |
$13K |
| 82120 |
|
3,057 |
2,226 |
$11K |
| 81025 |
|
1,533 |
996 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
3,206 |
2,355 |
$7K |
| 0011A |
|
137 |
129 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
80 |
40 |
$5K |
| 0012A |
|
92 |
88 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
30 |
$4K |
| T1002 |
Rn services, up to 15 minutes |
72 |
72 |
$2K |
| 87081 |
|
452 |
275 |
$2K |
| 90686 |
|
324 |
292 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
105 |
65 |
$2K |
| 90715 |
|
180 |
135 |
$819.15 |
| 90651 |
|
163 |
127 |
$682.00 |
| 90716 |
|
12 |
12 |
$408.00 |
| 90619 |
|
106 |
91 |
$314.00 |
| 90734 |
|
190 |
141 |
$260.20 |
| 85018 |
|
83 |
66 |
$205.14 |
| 90620 |
|
80 |
72 |
$188.01 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
19 |
12 |
$137.04 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
12 |
$109.60 |
| 90633 |
|
14 |
14 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |