| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,864 |
6,133 |
$502K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,265 |
4,617 |
$278K |
| 99443 |
|
429 |
406 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
725 |
699 |
$24K |
| 99442 |
|
286 |
267 |
$11K |
| 90682 |
|
213 |
198 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
67 |
67 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
438 |
413 |
$6K |
| 99397 |
|
77 |
74 |
$6K |
| 99051 |
|
332 |
310 |
$5K |
| 90662 |
|
185 |
174 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
27 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
37 |
28 |
$3K |
| 99490 |
Ccm add 20min |
67 |
67 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
105 |
95 |
$999.91 |
| G0008 |
Administration of influenza virus vaccine |
121 |
118 |
$872.79 |
| 90688 |
|
60 |
57 |
$710.09 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
69 |
65 |
$547.75 |
| 99000 |
|
14 |
12 |
$254.60 |
| 96127 |
|
30 |
30 |
$78.14 |
| 94760 |
|
72 |
67 |
$68.88 |
| 1126F |
|
15 |
15 |
$0.00 |
| 3008F |
|
15 |
15 |
$0.00 |