| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,468 |
3,071 |
$173K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,462 |
1,776 |
$77K |
| 99215 |
Prolong outpt/office vis |
157 |
137 |
$12K |
| 93000 |
|
737 |
616 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
812 |
727 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
185 |
58 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
71 |
71 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
64 |
57 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,143 |
1,727 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
71 |
50 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
65 |
64 |
$863.44 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
103 |
73 |
$795.22 |
| 90686 |
|
65 |
58 |
$755.08 |
| 90674 |
|
33 |
32 |
$706.52 |
| 90746 |
|
13 |
13 |
$629.78 |
| 90715 |
|
13 |
12 |
$546.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
12 |
$469.60 |
| 0004A |
|
17 |
14 |
$440.00 |