| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,311 |
2,680 |
$80K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
418 |
403 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,405 |
915 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
342 |
313 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
286 |
277 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
258 |
248 |
$9K |
| 99385 |
|
83 |
82 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
85 |
78 |
$5K |
| 99386 |
|
80 |
78 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
49 |
$411.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
19 |
$171.62 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
14 |
13 |
$80.86 |
| 80305 |
|
41 |
30 |
$35.92 |
| 1126F |
|
510 |
487 |
$0.00 |
| 1036F |
|
736 |
673 |
$0.00 |
| 3074F |
|
1,497 |
1,402 |
$0.00 |
| 3075F |
|
457 |
438 |
$0.00 |
| 1031F |
|
232 |
211 |
$0.00 |
| 3080F |
|
328 |
313 |
$0.00 |
| 1170F |
|
1,618 |
1,492 |
$0.00 |
| 3008F |
|
2,516 |
2,339 |
$0.00 |
| 1034F |
|
414 |
396 |
$0.00 |
| 1111F |
|
981 |
933 |
$0.00 |
| 3079F |
|
1,004 |
954 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
55 |
51 |
$0.00 |
| 4010F |
|
54 |
52 |
$0.00 |
| 4013F |
|
60 |
56 |
$0.00 |
| 3078F |
|
1,098 |
1,032 |
$0.00 |
| 3077F |
|
495 |
473 |
$0.00 |
| 4025F |
|
99 |
96 |
$0.00 |
| 3016F |
|
439 |
427 |
$0.00 |
| 3725F |
|
110 |
108 |
$0.00 |