| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,596 |
14,289 |
$1.80M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,545 |
7,678 |
$707K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,401 |
1,161 |
$179K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,202 |
1,079 |
$125K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,366 |
2,006 |
$121K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
953 |
854 |
$107K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,197 |
851 |
$51K |
| 96127 |
|
2,551 |
2,045 |
$17K |
| 99385 |
|
157 |
131 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
94 |
80 |
$8K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
34 |
12 |
$6K |
| 95117 |
|
593 |
197 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
51 |
43 |
$5K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
14 |
14 |
$4K |
| 99496 |
|
13 |
12 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
153 |
67 |
$2K |
| 80305 |
|
198 |
159 |
$1K |
| 99423 |
|
172 |
94 |
$955.66 |
| 99443 |
|
44 |
32 |
$936.60 |
| 99406 |
|
62 |
55 |
$851.85 |
| 99407 |
|
38 |
35 |
$817.21 |
| 99401 |
|
344 |
291 |
$805.14 |
| 93000 |
|
62 |
54 |
$783.49 |
| 90756 |
|
27 |
26 |
$720.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
81 |
60 |
$622.99 |
| 0072A |
|
14 |
12 |
$481.46 |
| 90661 |
|
24 |
21 |
$435.91 |
| 90674 |
|
15 |
14 |
$402.48 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
28 |
$368.48 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
21 |
17 |
$220.20 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
102 |
61 |
$69.84 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
13 |
13 |
$68.04 |
| 99306 |
Prolong nursin fac eval 15m |
13 |
13 |
$61.92 |
| 99173 |
|
17 |
16 |
$41.60 |
| 99442 |
|
20 |
14 |
$0.00 |
| 99441 |
|
14 |
13 |
$0.00 |
| 91307 |
|
17 |
13 |
$0.00 |