| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,617 |
3,244 |
$187K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,404 |
2,259 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
925 |
908 |
$67K |
| 99443 |
|
723 |
648 |
$43K |
| 99490 |
Ccm add 20min |
1,420 |
1,420 |
$10K |
| 99397 |
|
124 |
122 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
116 |
116 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
102 |
93 |
$3K |
| 97802 |
|
1,173 |
1,158 |
$3K |
| 93000 |
|
200 |
200 |
$2K |
| 96116 |
|
59 |
59 |
$2K |
| 90674 |
|
88 |
88 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
154 |
153 |
$2K |
| 90756 |
|
105 |
105 |
$2K |
| 99401 |
|
1,909 |
1,855 |
$585.21 |
| 90661 |
|
16 |
16 |
$552.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
36 |
27 |
$399.27 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$167.54 |
| G0008 |
Administration of influenza virus vaccine |
60 |
60 |
$138.88 |
| 36415 |
Collection of venous blood by venipuncture |
1,745 |
1,694 |
$136.19 |
| 81003 |
|
687 |
671 |
$86.02 |
| 96127 |
|
631 |
626 |
$45.91 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
234 |
231 |
$11.75 |
| 81002 |
|
479 |
469 |
$8.46 |
| 1125F |
|
149 |
145 |
$5.00 |
| 1170F |
|
149 |
145 |
$5.00 |
| 1159F |
|
146 |
145 |
$5.00 |
| 1160F |
|
146 |
145 |
$5.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,483 |
1,469 |
$0.31 |
| 80061 |
Lipid panel |
1,578 |
1,567 |
$0.17 |
| 3008F |
|
1,121 |
1,113 |
$0.00 |
| 0521F |
|
146 |
145 |
$0.00 |
| 1158F |
|
146 |
145 |
$0.00 |