| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,195 |
17,951 |
$1.29M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,139 |
2,727 |
$139K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
307 |
292 |
$32K |
| 99349 |
|
1,264 |
839 |
$18K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
523 |
323 |
$7K |
| 90686 |
|
520 |
480 |
$7K |
| 96127 |
|
1,392 |
1,331 |
$6K |
| 99335 |
|
611 |
325 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
53 |
$5K |
| 0011A |
|
107 |
101 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
346 |
329 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
22 |
22 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
876 |
794 |
$2K |
| 99457 |
|
137 |
117 |
$859.49 |
| 0012A |
|
28 |
27 |
$785.00 |
| 82962 |
|
647 |
495 |
$781.42 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,028 |
686 |
$725.81 |
| 85018 |
|
235 |
222 |
$547.60 |
| 99000 |
|
365 |
322 |
$309.48 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
42 |
39 |
$296.59 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
28 |
28 |
$283.45 |
| 99454 |
|
32 |
25 |
$283.24 |
| 92551 |
|
27 |
27 |
$267.89 |
| 99458 |
|
14 |
12 |
$257.50 |
| 90660 |
|
17 |
17 |
$176.00 |
| 90461 |
|
143 |
115 |
$106.48 |
| 99051 |
|
62 |
61 |
$77.50 |
| 99173 |
|
20 |
20 |
$49.36 |