| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,475 |
3,731 |
$173K |
| 99497 |
|
281 |
244 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
121 |
98 |
$8K |
| 96160 |
|
484 |
391 |
$5K |
| 93000 |
|
400 |
345 |
$4K |
| 99406 |
|
384 |
335 |
$2K |
| 99173 |
|
481 |
404 |
$2K |
| 92551 |
|
472 |
400 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
28 |
$1K |
| 81003 |
|
595 |
501 |
$671.39 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
49 |
42 |
$583.03 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$573.17 |
| 3008F |
|
643 |
580 |
$502.26 |
| 90688 |
|
53 |
41 |
$463.39 |
| 90686 |
|
33 |
26 |
$365.04 |
| 96127 |
|
95 |
66 |
$297.48 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
15 |
$272.18 |
| 1159F |
|
238 |
222 |
$230.00 |
| 1170F |
|
251 |
236 |
$220.00 |
| 1160F |
|
239 |
222 |
$220.00 |
| 3074F |
|
162 |
154 |
$160.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
33 |
$159.78 |
| 3078F |
|
112 |
107 |
$100.00 |
| 3079F |
|
89 |
83 |
$73.53 |
| 94760 |
|
13 |
13 |
$62.32 |
| 3044F |
|
66 |
60 |
$40.00 |
| 3077F |
|
32 |
28 |
$20.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$15.31 |
| 3048F |
|
68 |
62 |
$0.00 |
| 3075F |
|
14 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
27 |
17 |
$0.00 |
| 3050F |
|
14 |
14 |
$0.00 |