| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,124 |
1,003 |
$124K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
274 |
247 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
217 |
215 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
97 |
96 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
42 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
451 |
439 |
$140.57 |
| 90686 |
|
48 |
47 |
$40.40 |
| 36415 |
Collection of venous blood by venipuncture |
182 |
168 |
$25.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
252 |
249 |
$14.15 |
| 3078F |
|
365 |
344 |
$0.00 |
| 1159F |
|
202 |
185 |
$0.00 |
| 90670 |
|
16 |
16 |
$0.00 |
| 3008F |
|
743 |
674 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 90647 |
|
28 |
28 |
$0.00 |
| 3074F |
|
452 |
420 |
$0.00 |
| 3079F |
|
45 |
42 |
$0.00 |
| 90474 |
|
13 |
13 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |