| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,428 |
8,537 |
$1.15M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,756 |
2,523 |
$382K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,447 |
1,316 |
$188K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
292 |
270 |
$68K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
145 |
142 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
38 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
33 |
33 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
70 |
68 |
$4K |
| 99215 |
Prolong outpt/office vis |
16 |
13 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
43 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
150 |
144 |
$848.73 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
644 |
588 |
$573.59 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
20 |
12 |
$289.13 |
| 81002 |
|
332 |
267 |
$21.35 |
| 96127 |
|
24 |
13 |
$12.05 |
| 36415 |
Collection of venous blood by venipuncture |
1,508 |
1,390 |
$6.00 |
| 99000 |
|
310 |
279 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
21 |
16 |
$0.00 |
| 99442 |
|
23 |
22 |
$0.00 |