| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,894 |
5,714 |
$389K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,651 |
4,003 |
$181K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
6,675 |
5,385 |
$175K |
| 91320 |
|
1,237 |
1,142 |
$125K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,481 |
1,436 |
$93K |
| 91322 |
|
629 |
581 |
$76K |
| 90480 |
|
2,047 |
1,910 |
$72K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,410 |
1,344 |
$59K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
553 |
524 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
1,332 |
1,242 |
$6K |
| 90686 |
|
508 |
468 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
37 |
$5K |
| 87430 |
|
295 |
284 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
60 |
60 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
235 |
208 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
105 |
96 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 0124A |
|
42 |
42 |
$1K |
| 91319 |
|
105 |
102 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
77 |
70 |
$891.48 |
| 81005 |
|
329 |
306 |
$435.29 |
| 92551 |
|
150 |
147 |
$417.04 |
| 99173 |
|
188 |
185 |
$157.27 |
| 91318 |
|
14 |
14 |
$133.08 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
71 |
$103.48 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
26 |
$91.70 |
| 90461 |
|
17 |
17 |
$78.93 |
| 91312 |
|
42 |
42 |
$0.11 |
| 90651 |
|
30 |
29 |
$0.00 |
| G9920 |
Screening performed and negative |
183 |
177 |
$0.00 |
| X5622 |
|
118 |
118 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |