| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35,931 |
34,380 |
$3.47M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,140 |
22,926 |
$1.62M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,403 |
3,380 |
$100K |
| 99215 |
Prolong outpt/office vis |
256 |
254 |
$35K |
| 90686 |
|
1,984 |
1,982 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,394 |
1,379 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
114 |
114 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
104 |
104 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
104 |
104 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
84 |
84 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
79 |
79 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
249 |
240 |
$6K |
| G0008 |
Administration of influenza virus vaccine |
266 |
266 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
77 |
74 |
$2K |
| 99385 |
|
12 |
12 |
$1K |
| 90661 |
|
53 |
52 |
$1K |
| 99173 |
|
218 |
218 |
$469.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
51 |
$437.37 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$430.83 |
| 90715 |
|
13 |
13 |
$416.80 |
| 81002 |
|
91 |
89 |
$244.59 |
| 96127 |
|
27 |
27 |
$104.04 |