| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,035 |
3,156 |
$193K |
| 99199 |
Unlisted special service, procedure or report |
19,469 |
10,730 |
$131K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,932 |
1,539 |
$65K |
| 99215 |
Prolong outpt/office vis |
498 |
444 |
$32K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
548 |
409 |
$4K |
| 99401 |
|
88 |
79 |
$3K |
| 90686 |
|
345 |
240 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
225 |
180 |
$2K |
| 99336 |
|
73 |
43 |
$2K |
| 82962 |
|
1,407 |
1,117 |
$2K |
| 90674 |
|
206 |
144 |
$2K |
| 99350 |
Prolong home eval add 15m |
16 |
13 |
$747.37 |
| 99335 |
|
20 |
14 |
$685.70 |
| 96127 |
|
64 |
51 |
$179.21 |
| 1160F |
|
2,831 |
2,410 |
$1.03 |
| 3008F |
|
3,296 |
2,815 |
$0.89 |
| 3074F |
|
2,004 |
1,730 |
$0.72 |
| 3078F |
|
2,066 |
1,789 |
$0.70 |
| 3079F |
|
963 |
846 |
$0.38 |
| 3075F |
|
815 |
727 |
$0.27 |
| 3077F |
|
301 |
270 |
$0.19 |
| 3725F |
|
187 |
157 |
$0.00 |
| 1036F |
|
1,995 |
1,618 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
154 |
102 |
$0.00 |
| 4010F |
|
64 |
58 |
$0.00 |
| 3080F |
|
28 |
26 |
$0.00 |
| 3061F |
|
13 |
12 |
$0.00 |