| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,559 |
11,877 |
$846K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,965 |
5,895 |
$346K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
459 |
411 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
151 |
135 |
$15K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
603 |
423 |
$9K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
345 |
232 |
$6K |
| 99310 |
Prolong nursin fac eval 15m |
143 |
77 |
$4K |
| 90756 |
|
192 |
163 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
317 |
282 |
$4K |
| 95927 |
|
43 |
43 |
$3K |
| 95943 |
|
44 |
43 |
$3K |
| 90688 |
|
109 |
95 |
$3K |
| 93922 |
|
39 |
38 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
138 |
126 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
48 |
34 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
77 |
70 |
$1K |
| 94729 |
|
34 |
31 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
15 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
91 |
88 |
$1K |
| 94726 |
|
33 |
31 |
$1K |
| 94010 |
|
59 |
56 |
$937.14 |
| 81003 |
|
28 |
25 |
$653.77 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$514.57 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
36 |
34 |
$504.60 |
| 99307 |
|
23 |
17 |
$334.80 |
| 99457 |
|
25 |
25 |
$182.72 |
| 90674 |
|
38 |
30 |
$154.39 |
| 99497 |
|
13 |
13 |
$121.36 |
| 90715 |
|
16 |
14 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |