| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,880 |
15,968 |
$358K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,779 |
9,232 |
$329K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,414 |
2,019 |
$107K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
734 |
610 |
$41K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
312 |
281 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
244 |
229 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
648 |
521 |
$6K |
| 11750 |
|
51 |
42 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
54 |
$4K |
| 17110 |
|
113 |
93 |
$3K |
| 11721 |
|
540 |
482 |
$3K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
24 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
451 |
280 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
3,245 |
2,813 |
$599.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
223 |
208 |
$379.00 |
| 0001A |
|
26 |
16 |
$347.60 |
| 81002 |
|
819 |
661 |
$345.77 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
124 |
90 |
$340.00 |
| 99401 |
|
12 |
12 |
$270.33 |
| 0002A |
|
19 |
14 |
$232.00 |
| 0011A |
|
13 |
13 |
$224.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
16 |
13 |
$113.41 |
| 90674 |
|
23 |
19 |
$87.60 |
| 91300 |
|
56 |
30 |
$72.00 |
| 90686 |
|
13 |
12 |
$64.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
13 |
$61.78 |
| 90688 |
|
55 |
43 |
$43.52 |
| 3074F |
|
484 |
452 |
$43.00 |
| 1160F |
|
553 |
517 |
$32.56 |
| 90756 |
|
19 |
17 |
$26.66 |
| 3077F |
|
74 |
71 |
$0.00 |
| 1159F |
|
159 |
154 |
$0.00 |
| 3078F |
|
417 |
385 |
$0.00 |
| 90649 |
|
15 |
15 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 3008F |
|
634 |
587 |
$0.00 |
| 3075F |
|
54 |
54 |
$0.00 |
| 3079F |
|
141 |
140 |
$0.00 |
| 1111F |
|
59 |
53 |
$0.00 |
| 3080F |
|
48 |
48 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
39 |
28 |
$0.00 |
| 99024 |
|
16 |
12 |
$0.00 |