| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,434 |
10,413 |
$943K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,232 |
2,859 |
$156K |
| 99215 |
Prolong outpt/office vis |
1,767 |
1,580 |
$147K |
| 95913 |
|
295 |
283 |
$71K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
769 |
762 |
$62K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
592 |
588 |
$50K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
503 |
494 |
$47K |
| 93923 |
|
263 |
261 |
$27K |
| 93925 |
|
84 |
83 |
$14K |
| 99354 |
|
219 |
182 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,073 |
1,001 |
$12K |
| 94750 |
|
227 |
209 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
493 |
480 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
4,024 |
3,907 |
$9K |
| 94060 |
|
249 |
234 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
260 |
246 |
$8K |
| 94400 |
|
227 |
208 |
$8K |
| 90756 |
|
276 |
253 |
$5K |
| 93922 |
|
77 |
77 |
$5K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
54 |
54 |
$4K |
| A6451 |
Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard |
2,371 |
2,250 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$2K |
| 93880 |
|
15 |
15 |
$2K |
| 81002 |
|
544 |
526 |
$1K |
| 90686 |
|
100 |
90 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
36 |
30 |
$1K |
| 94250 |
|
170 |
153 |
$897.71 |
| 99397 |
|
13 |
12 |
$798.83 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$781.52 |
| 90658 |
|
34 |
34 |
$724.01 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
48 |
$671.13 |
| 0012A |
|
23 |
23 |
$595.20 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
383 |
373 |
$505.71 |
| 90688 |
|
34 |
34 |
$454.40 |
| 93000 |
|
17 |
17 |
$181.44 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
13 |
$171.98 |
| 90687 |
|
19 |
19 |
$166.36 |
| 3008F |
|
1,058 |
781 |
$103.95 |
| 94760 |
|
663 |
423 |
$69.34 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
15 |
$2.29 |
| 3074F |
|
590 |
395 |
$0.00 |
| 1111F |
|
21 |
14 |
$0.00 |
| 94200 |
|
18 |
13 |
$0.00 |
| 4004F |
|
574 |
385 |
$0.00 |
| 1160F |
|
655 |
438 |
$0.00 |
| 3078F |
|
598 |
408 |
$0.00 |
| 3725F |
|
17 |
14 |
$0.00 |