| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,940 |
10,947 |
$765K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,158 |
1,130 |
$197K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,468 |
1,457 |
$159K |
| 94729 |
|
4,352 |
4,287 |
$140K |
| 94060 |
|
4,364 |
4,319 |
$126K |
| 94727 |
|
4,099 |
4,055 |
$101K |
| 99233 |
Prolong inpt eval add15 m |
1,396 |
368 |
$44K |
| 94200 |
|
4,075 |
4,033 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
540 |
493 |
$27K |
| 99223 |
Prolong inpt eval add15 m |
323 |
305 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,878 |
1,593 |
$16K |
| 99401 |
|
233 |
229 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
196 |
196 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
56 |
52 |
$2K |
| 90688 |
|
93 |
92 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
866 |
850 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 99072 |
|
1,063 |
974 |
$930.00 |
| 90756 |
|
35 |
35 |
$857.86 |
| 99407 |
|
27 |
27 |
$557.73 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
32 |
$402.83 |
| 99429 |
|
18 |
18 |
$292.50 |
| 90656 |
|
13 |
13 |
$229.36 |
| 93000 |
|
26 |
25 |
$207.81 |
| 90686 |
|
12 |
12 |
$154.79 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
65 |
52 |
$99.30 |
| J3490 |
Unclassified drugs |
288 |
237 |
$12.64 |
| 1159F |
|
17 |
17 |
$0.00 |
| 1160F |
|
15 |
15 |
$0.00 |
| 99000 |
|
22 |
22 |
$0.00 |