| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,209 |
1,153 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
549 |
513 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
224 |
203 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
126 |
124 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
101 |
100 |
$12K |
| 2001F |
|
5,536 |
5,019 |
$1K |
| 90686 |
|
179 |
179 |
$1K |
| 3008F |
|
2,772 |
2,649 |
$878.04 |
| 1160F |
|
4,808 |
4,404 |
$836.46 |
| 3074F |
|
1,990 |
1,907 |
$608.95 |
| 3078F |
|
1,915 |
1,833 |
$207.25 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
830 |
798 |
$140.00 |
| 99051 |
|
211 |
207 |
$68.51 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
13 |
$2.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
33 |
$0.00 |
| 85018 |
|
25 |
25 |
$0.00 |
| 90461 |
|
282 |
281 |
$0.00 |
| 90670 |
|
38 |
38 |
$0.00 |
| 90648 |
|
38 |
38 |
$0.00 |