| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,599 |
9,831 |
$823K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,386 |
6,744 |
$410K |
| 99442 |
|
422 |
324 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
984 |
950 |
$20K |
| 99215 |
Prolong outpt/office vis |
229 |
224 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
78 |
74 |
$8K |
| 99443 |
|
108 |
88 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
62 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
223 |
146 |
$5K |
| 99441 |
|
178 |
127 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
711 |
697 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
48 |
46 |
$4K |
| 90686 |
|
299 |
291 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
717 |
659 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 98966 |
|
55 |
32 |
$518.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
23 |
$364.31 |
| 98968 |
|
13 |
12 |
$363.20 |
| 98967 |
|
12 |
12 |
$251.74 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
13 |
$214.18 |
| 81003 |
|
74 |
67 |
$159.86 |
| 81001 |
|
17 |
17 |
$59.84 |
| G0008 |
Administration of influenza virus vaccine |
43 |
42 |
$50.34 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
14 |
14 |
$24.16 |
| 90710 |
|
12 |
12 |
$0.11 |
| J3490 |
Unclassified drugs |
13 |
13 |
$0.03 |