| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,887 |
14,138 |
$1.09M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,974 |
9,347 |
$565K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
183 |
180 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
4,857 |
4,661 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
146 |
146 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
151 |
145 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,331 |
3,259 |
$9K |
| 0012A |
|
149 |
148 |
$6K |
| 90688 |
|
389 |
385 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
343 |
312 |
$6K |
| 0011A |
|
178 |
177 |
$5K |
| 0002A |
|
125 |
124 |
$5K |
| 0001A |
|
124 |
123 |
$5K |
| 0071A |
|
96 |
96 |
$4K |
| 96127 |
|
1,367 |
1,000 |
$4K |
| 0072A |
|
93 |
93 |
$4K |
| 0064A |
|
83 |
81 |
$3K |
| 0004A |
|
62 |
61 |
$2K |
| 99215 |
Prolong outpt/office vis |
28 |
27 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 91322 |
|
15 |
15 |
$1K |
| 90686 |
|
92 |
92 |
$1K |
| 90480 |
|
19 |
19 |
$600.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
409 |
401 |
$477.84 |
| 90715 |
|
12 |
12 |
$297.65 |
| 90633 |
|
14 |
14 |
$275.66 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$172.11 |
| 85018 |
|
51 |
49 |
$113.57 |
| 91301 |
|
333 |
324 |
$0.00 |
| 91306 |
|
82 |
81 |
$0.00 |
| 91307 |
|
192 |
169 |
$0.00 |
| 91300 |
|
367 |
339 |
$0.00 |