| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,943 |
2,726 |
$206K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,053 |
2,765 |
$165K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
683 |
659 |
$91K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,808 |
1,724 |
$42K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
265 |
254 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
922 |
894 |
$21K |
| 99383 |
|
154 |
153 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
343 |
285 |
$10K |
| 99384 |
|
86 |
82 |
$9K |
| 99382 |
|
61 |
61 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
3,085 |
2,934 |
$6K |
| 90715 |
|
407 |
400 |
$5K |
| 90713 |
|
382 |
368 |
$2K |
| 90707 |
|
140 |
134 |
$932.95 |
| 90686 |
|
224 |
221 |
$768.54 |
| 90634 |
|
109 |
105 |
$725.16 |
| 81003 |
|
1,423 |
1,347 |
$716.48 |
| 90756 |
|
96 |
96 |
$507.98 |
| 90716 |
|
231 |
225 |
$386.47 |
| 99173 |
|
1,413 |
1,356 |
$335.63 |
| 90723 |
|
25 |
23 |
$248.60 |
| 1125F |
|
1,633 |
1,517 |
$206.91 |
| 90746 |
|
42 |
41 |
$168.36 |
| 81025 |
|
351 |
334 |
$142.51 |
| 90658 |
|
15 |
15 |
$140.06 |
| 90744 |
|
101 |
99 |
$124.31 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
24 |
$41.06 |
| 3080F |
|
89 |
85 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |
| 3077F |
|
375 |
350 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |
| 99408 |
|
12 |
12 |
$0.00 |
| 4004F |
|
145 |
131 |
$0.00 |
| 80305 |
|
70 |
68 |
$0.00 |