| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,973 |
4,715 |
$259K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,173 |
957 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
212 |
201 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,611 |
1,411 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
665 |
588 |
$15K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
368 |
334 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
162 |
149 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
141 |
136 |
$10K |
| W0037 |
|
1,821 |
1,821 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
28 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
377 |
324 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
24 |
$1K |
| 90674 |
|
97 |
96 |
$778.35 |
| 90658 |
|
162 |
151 |
$234.91 |
| 90670 |
|
45 |
36 |
$172.51 |
| 81003 |
|
15 |
13 |
$42.64 |
| 90686 |
|
123 |
112 |
$34.96 |
| 90734 |
|
32 |
25 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90655 |
|
31 |
29 |
$0.00 |
| 90648 |
|
46 |
37 |
$0.00 |
| 90669 |
|
85 |
81 |
$0.00 |
| 90707 |
|
17 |
17 |
$0.00 |
| 90649 |
|
20 |
14 |
$0.00 |
| 90723 |
|
43 |
41 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90716 |
|
17 |
17 |
$0.00 |
| 90645 |
|
45 |
43 |
$0.00 |
| 90651 |
|
21 |
21 |
$0.00 |