| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,552 |
4,798 |
$340K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,828 |
3,223 |
$167K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
317 |
52 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
455 |
415 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
206 |
181 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
106 |
98 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
16 |
14 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
73 |
69 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
230 |
187 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
508 |
473 |
$3K |
| 99215 |
Prolong outpt/office vis |
52 |
46 |
$2K |
| 99354 |
|
72 |
59 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
13 |
12 |
$323.91 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
13 |
12 |
$208.75 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
12 |
$177.66 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
14 |
$135.89 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
27 |
$72.16 |
| 81002 |
|
56 |
43 |
$68.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
15 |
$45.61 |
| 99442 |
|
36 |
28 |
$12.00 |
| 99173 |
|
218 |
196 |
$0.00 |
| 99000 |
|
132 |
117 |
$0.00 |
| 97802 |
|
48 |
44 |
$0.00 |