| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,689 |
3,892 |
$374K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
914 |
765 |
$48K |
| 99215 |
Prolong outpt/office vis |
354 |
311 |
$38K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
255 |
227 |
$30K |
| 99385 |
|
115 |
108 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
95 |
85 |
$8K |
| 96127 |
|
309 |
257 |
$4K |
| 99407 |
|
92 |
71 |
$2K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
40 |
38 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
464 |
419 |
$1K |
| 90674 |
|
45 |
39 |
$878.54 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$629.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
32 |
$606.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
24 |
$413.25 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
26 |
$367.35 |
| 83037 |
|
37 |
36 |
$308.72 |
| 99173 |
|
26 |
26 |
$265.34 |
| 92551 |
|
26 |
26 |
$260.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$198.60 |
| 81002 |
|
13 |
13 |
$43.85 |
| 81003 |
|
12 |
12 |
$23.75 |
| 99000 |
|
67 |
59 |
$9.30 |