| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,776 |
7,802 |
$453K |
| 99215 |
Prolong outpt/office vis |
1,295 |
1,187 |
$97K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
884 |
819 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
943 |
833 |
$34K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
535 |
507 |
$31K |
| 93000 |
|
1,470 |
1,358 |
$18K |
| 90756 |
|
351 |
305 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
110 |
99 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
327 |
303 |
$4K |
| 0134A |
|
144 |
101 |
$4K |
| 0013A |
|
100 |
93 |
$4K |
| 82962 |
|
1,321 |
1,071 |
$3K |
| 81002 |
|
1,484 |
1,280 |
$3K |
| 0012A |
|
138 |
88 |
$2K |
| 93925 |
|
13 |
12 |
$2K |
| 0011A |
|
162 |
81 |
$2K |
| 94010 |
|
53 |
52 |
$1K |
| 80305 |
|
108 |
84 |
$920.05 |
| 3074F |
|
1,495 |
1,249 |
$769.00 |
| 3080F |
|
1,327 |
1,077 |
$611.00 |
| 0003A |
|
17 |
14 |
$569.12 |
| 0064A |
|
14 |
14 |
$478.14 |
| 0124A |
|
14 |
12 |
$441.36 |
| 3078F |
|
671 |
577 |
$280.00 |
| 3077F |
|
800 |
650 |
$275.00 |
| 3079F |
|
761 |
631 |
$250.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
14 |
$135.00 |
| 3075F |
|
296 |
267 |
$80.00 |
| 3044F |
|
29 |
26 |
$50.00 |
| 81003 |
|
30 |
27 |
$42.56 |
| 1125F |
|
549 |
454 |
$0.00 |
| 1126F |
|
3,256 |
2,647 |
$0.00 |
| 91301 |
|
232 |
212 |
$0.00 |
| 91306 |
|
14 |
14 |
$0.00 |
| 1159F |
|
6,812 |
5,739 |
$0.00 |
| 1160F |
|
6,704 |
5,652 |
$0.00 |
| 0521F |
|
527 |
454 |
$0.00 |
| 91313 |
|
152 |
101 |
$0.00 |
| 91300 |
|
19 |
16 |
$0.00 |
| 91312 |
|
16 |
12 |
$0.00 |