| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,830 |
8,237 |
$402K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,406 |
2,109 |
$159K |
| W0037 |
|
3,902 |
3,902 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
944 |
847 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
4,202 |
3,509 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,752 |
1,691 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
689 |
661 |
$12K |
| 90837 |
Psychotherapy, 53 minutes with patient |
101 |
57 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
560 |
515 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
704 |
575 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
87 |
74 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
83 |
81 |
$5K |
| 99215 |
Prolong outpt/office vis |
46 |
45 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 90686 |
|
300 |
286 |
$953.34 |
| 90677 |
|
12 |
12 |
$577.32 |
| 90656 |
|
68 |
68 |
$552.00 |
| 90651 |
|
80 |
78 |
$383.00 |
| 90715 |
|
49 |
46 |
$232.50 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
28 |
27 |
$153.70 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
17 |
12 |
$17.43 |
| 36416 |
|
13 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90734 |
|
59 |
57 |
$0.00 |