| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,032 |
5,793 |
$512K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,981 |
3,757 |
$233K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,070 |
1,058 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
96 |
96 |
$8K |
| 99215 |
Prolong outpt/office vis |
59 |
59 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
167 |
164 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
53 |
53 |
$5K |
| 90682 |
|
64 |
63 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
343 |
306 |
$4K |
| 90686 |
|
228 |
228 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
41 |
$4K |
| 99385 |
|
24 |
24 |
$3K |
| 90715 |
|
44 |
44 |
$1K |
| 90658 |
|
91 |
91 |
$1K |
| 90688 |
|
71 |
71 |
$991.65 |
| 36415 |
Collection of venous blood by venipuncture |
293 |
287 |
$800.49 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
27 |
26 |
$412.58 |
| 90656 |
|
15 |
15 |
$274.92 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
27 |
$252.70 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
75 |
72 |
$150.79 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
69 |
56 |
$141.35 |
| 81003 |
|
12 |
12 |
$12.65 |
| 3077F |
|
359 |
340 |
$0.00 |
| 3078F |
|
6,877 |
6,468 |
$0.00 |
| 99421 |
|
13 |
13 |
$0.00 |
| 3075F |
|
1,169 |
1,147 |
$0.00 |
| 3079F |
|
1,889 |
1,839 |
$0.00 |
| 3351F |
|
2,373 |
2,304 |
$0.00 |
| 3074F |
|
7,957 |
7,432 |
$0.00 |
| 3080F |
|
14 |
13 |
$0.00 |