| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,836 |
3,398 |
$377K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,382 |
1,119 |
$74K |
| 99000 |
|
2,157 |
1,746 |
$22K |
| 99215 |
Prolong outpt/office vis |
277 |
229 |
$22K |
| 96127 |
|
243 |
184 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
166 |
142 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
131 |
117 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
45 |
42 |
$667.00 |
| 0001A |
|
14 |
14 |
$589.96 |
| 99173 |
|
77 |
74 |
$573.65 |
| 0002A |
|
12 |
12 |
$505.68 |
| 99072 |
|
465 |
242 |
$270.00 |
| 94760 |
|
131 |
96 |
$259.36 |
| 90651 |
|
14 |
14 |
$233.94 |
| 80305 |
|
19 |
15 |
$171.23 |
| 36415 |
Collection of venous blood by venipuncture |
899 |
687 |
$169.84 |
| 91300 |
|
31 |
30 |
$0.20 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25 |
25 |
$0.00 |