| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,299 |
17,396 |
$1.16M |
| 99215 |
Prolong outpt/office vis |
1,693 |
1,539 |
$120K |
| 99233 |
Prolong inpt eval add15 m |
970 |
309 |
$17K |
| 99223 |
Prolong inpt eval add15 m |
370 |
332 |
$17K |
| 93000 |
|
822 |
763 |
$12K |
| 99401 |
|
351 |
333 |
$8K |
| 99443 |
|
1,054 |
834 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
212 |
188 |
$8K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
171 |
150 |
$5K |
| 94060 |
|
164 |
157 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
357 |
341 |
$5K |
| 90756 |
|
219 |
210 |
$5K |
| 99490 |
Ccm add 20min |
1,262 |
1,218 |
$4K |
| 99406 |
|
558 |
517 |
$4K |
| 99205 |
Prolong outpt/office vis |
43 |
40 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,305 |
1,247 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
375 |
360 |
$3K |
| 90688 |
|
89 |
87 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
137 |
120 |
$1K |
| 90661 |
|
48 |
48 |
$947.01 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$764.76 |
| 99310 |
Prolong nursin fac eval 15m |
25 |
12 |
$614.04 |
| 96160 |
|
103 |
95 |
$300.70 |
| 81003 |
|
92 |
86 |
$234.07 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
357 |
335 |
$173.44 |
| 90658 |
|
49 |
45 |
$147.77 |
| 99408 |
|
72 |
70 |
$7.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
12 |
12 |
$5.58 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$5.58 |