| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,710 |
5,635 |
$461K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,479 |
3,751 |
$208K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
690 |
535 |
$49K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
412 |
383 |
$33K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
347 |
336 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
334 |
300 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
238 |
218 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
186 |
152 |
$12K |
| 90686 |
|
784 |
633 |
$11K |
| 90670 |
|
143 |
115 |
$9K |
| 99385 |
|
62 |
61 |
$6K |
| 90715 |
|
208 |
114 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
66 |
56 |
$3K |
| 90734 |
|
60 |
43 |
$2K |
| 90651 |
|
15 |
15 |
$1K |
| 83655 |
|
92 |
66 |
$1K |
| 90685 |
|
28 |
13 |
$492.64 |
| 85018 |
|
147 |
94 |
$330.62 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$172.15 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
18 |
15 |
$116.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
318 |
263 |
$11.75 |