| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,578 |
19,742 |
$1.06M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,846 |
12,641 |
$543K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
707 |
699 |
$61K |
| 99215 |
Prolong outpt/office vis |
419 |
393 |
$32K |
| 96127 |
|
1,687 |
1,641 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
121 |
120 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
673 |
655 |
$7K |
| 90686 |
|
443 |
418 |
$6K |
| 99205 |
Prolong outpt/office vis |
46 |
44 |
$4K |
| 90674 |
|
113 |
112 |
$3K |
| 90656 |
|
190 |
175 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
435 |
420 |
$2K |
| 95251 |
|
177 |
166 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
89 |
79 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
13 |
$797.51 |
| 99442 |
|
13 |
13 |
$520.61 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
17 |
$150.81 |
| 1159F |
|
734 |
683 |
$0.00 |
| 3078F |
|
315 |
302 |
$0.00 |
| 1160F |
|
270 |
249 |
$0.00 |
| 2028F |
|
29 |
28 |
$0.00 |
| 3074F |
|
496 |
475 |
$0.00 |
| 3079F |
|
28 |
27 |
$0.00 |
| 1111F |
|
26 |
26 |
$0.00 |
| 3044F |
|
39 |
36 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
24 |
15 |
$0.00 |