| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,523 |
19,398 |
$1.10M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,444 |
2,328 |
$207K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,854 |
4,327 |
$179K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
519 |
473 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,307 |
1,183 |
$32K |
| 99215 |
Prolong outpt/office vis |
466 |
438 |
$27K |
| 99205 |
Prolong outpt/office vis |
254 |
240 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
258 |
240 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
997 |
921 |
$13K |
| 92551 |
|
1,529 |
1,399 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
219 |
198 |
$4K |
| 90686 |
|
446 |
407 |
$4K |
| 82962 |
|
1,305 |
1,076 |
$2K |
| 81002 |
|
1,051 |
922 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,684 |
1,511 |
$2K |
| 99173 |
|
1,530 |
1,399 |
$2K |
| 85018 |
|
841 |
701 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
256 |
227 |
$1K |
| 94010 |
|
30 |
27 |
$467.06 |
| 0001A |
|
23 |
17 |
$339.87 |
| 0011A |
|
15 |
14 |
$304.56 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
13 |
$131.30 |
| 93000 |
|
12 |
12 |
$114.98 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
162 |
156 |
$48.95 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
31 |
31 |
$28.74 |
| 90649 |
|
113 |
110 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90715 |
|
17 |
17 |
$0.00 |
| 91300 |
|
16 |
14 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |