| 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 |
6,227 |
$812K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,524 |
5,654 |
$567K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
763 |
731 |
$88K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
639 |
610 |
$80K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
76 |
68 |
$20K |
| 93000 |
|
1,506 |
1,387 |
$20K |
| 96127 |
|
1,791 |
1,698 |
$8K |
| 3008F |
|
1,708 |
1,644 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
40 |
$4K |
| 93923 |
|
33 |
30 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
28 |
28 |
$4K |
| 92551 |
|
189 |
181 |
$2K |
| 90686 |
|
100 |
92 |
$2K |
| 90682 |
|
34 |
30 |
$1K |
| 99497 |
|
176 |
151 |
$1K |
| 92552 |
|
34 |
31 |
$767.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
120 |
106 |
$658.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
29 |
$319.96 |
| 86403 |
|
32 |
28 |
$203.00 |
| 99051 |
|
29 |
22 |
$151.30 |
| 3011F |
|
29 |
26 |
$130.00 |
| 3074F |
|
366 |
281 |
$44.50 |
| 3078F |
|
340 |
262 |
$4.50 |
| 3079F |
|
136 |
115 |
$4.50 |
| 99072 |
|
87 |
63 |
$0.00 |
| 3077F |
|
17 |
12 |
$0.00 |
| 3075F |
|
97 |
76 |
$0.00 |