| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,090 |
2,928 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,032 |
940 |
$38K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
903 |
485 |
$15K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
420 |
351 |
$4K |
| 99215 |
Prolong outpt/office vis |
40 |
39 |
$2K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
17 |
17 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
162 |
155 |
$1K |
| 95117 |
|
183 |
123 |
$1K |
| 90682 |
|
26 |
26 |
$816.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$522.50 |
| 92551 |
|
29 |
29 |
$112.41 |
| 99173 |
|
29 |
29 |
$94.40 |
| 3061F |
|
183 |
171 |
$0.00 |
| 4010F |
|
42 |
39 |
$0.00 |
| 3048F |
|
16 |
16 |
$0.00 |
| 3079F |
|
115 |
110 |
$0.00 |
| 90674 |
|
30 |
30 |
$0.00 |
| 3078F |
|
451 |
422 |
$0.00 |