| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,422 |
2,971 |
$177K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,537 |
2,260 |
$109K |
| 99442 |
|
1,001 |
913 |
$40K |
| 99441 |
|
900 |
806 |
$26K |
| 99487 |
Ccm add 20min |
398 |
398 |
$19K |
| 99401 |
|
833 |
724 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
173 |
171 |
$10K |
| 99490 |
Ccm add 20min |
711 |
711 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
191 |
177 |
$5K |
| 93000 |
|
285 |
255 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
29 |
$2K |
| 90756 |
|
38 |
38 |
$621.16 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
49 |
44 |
$441.50 |
| 99397 |
|
13 |
12 |
$397.81 |
| 94060 |
|
20 |
14 |
$392.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$232.32 |
| 3074F |
|
28 |
27 |
$36.04 |
| 3008F |
|
18 |
18 |
$0.00 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
200 |
186 |
$0.00 |
| 3725F |
|
43 |
42 |
$0.00 |