| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,866 |
5,231 |
$387K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,249 |
6,681 |
$341K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
184 |
165 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
296 |
235 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
101 |
88 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
74 |
64 |
$5K |
| 90686 |
|
284 |
227 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
18 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
25 |
$2K |
| 11721 |
|
109 |
102 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
135 |
123 |
$594.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
250 |
205 |
$518.12 |
| 90656 |
|
29 |
29 |
$425.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
34 |
$413.16 |
| 99442 |
|
29 |
14 |
$275.50 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
20 |
12 |
$141.77 |
| 3079F |
|
526 |
472 |
$0.00 |
| 3074F |
|
1,142 |
1,015 |
$0.00 |
| 3075F |
|
251 |
227 |
$0.00 |
| 3008F |
|
625 |
552 |
$0.00 |
| 3080F |
|
53 |
44 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
18 |
16 |
$0.00 |
| 3078F |
|
1,000 |
903 |
$0.00 |
| 3077F |
|
170 |
145 |
$0.00 |