| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,166 |
9,521 |
$517K |
| 99307 |
|
4,318 |
3,917 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
603 |
556 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
274 |
244 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
331 |
310 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
805 |
702 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
171 |
161 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
164 |
151 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
173 |
160 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
26 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
16 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
390 |
339 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
16 |
$727.15 |
| 81002 |
|
442 |
378 |
$693.42 |
| 81025 |
|
121 |
109 |
$612.07 |
| 92551 |
|
68 |
59 |
$479.66 |
| 99173 |
|
69 |
60 |
$118.00 |
| 90734 |
|
19 |
18 |
$0.00 |
| 90715 |
|
16 |
15 |
$0.00 |
| 90633 |
|
16 |
16 |
$0.00 |
| 90649 |
|
22 |
21 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |