| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,307 |
12,571 |
$569K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,080 |
4,291 |
$139K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
890 |
817 |
$62K |
| T1015 |
Clinic visit/encounter, all-inclusive |
961 |
397 |
$31K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
415 |
329 |
$3K |
| 99401 |
|
214 |
197 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
17 |
$657.27 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
398 |
324 |
$601.17 |
| 99490 |
Ccm add 20min |
464 |
464 |
$573.98 |
| 99408 |
|
82 |
73 |
$88.56 |
| 90674 |
|
14 |
14 |
$80.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$58.80 |
| 0513F |
|
41 |
36 |
$40.00 |
| 96127 |
|
115 |
100 |
$3.65 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
43 |
28 |
$0.12 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
70 |
70 |
$0.00 |
| 99406 |
|
15 |
15 |
$0.00 |