| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,252 |
18,592 |
$819K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,046 |
6,168 |
$351K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
846 |
787 |
$76K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,183 |
3,045 |
$38K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,149 |
2,659 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
297 |
283 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
288 |
241 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
206 |
190 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,271 |
1,145 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
446 |
410 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
363 |
288 |
$3K |
| 99050 |
|
110 |
105 |
$2K |
| 81002 |
|
627 |
583 |
$2K |
| 86328 |
|
149 |
113 |
$1K |
| 81025 |
|
124 |
119 |
$782.47 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
36 |
13 |
$266.56 |
| 90686 |
|
122 |
98 |
$191.74 |
| 0011A |
|
18 |
13 |
$170.25 |
| 99401 |
|
71 |
67 |
$29.65 |
| 36415 |
Collection of venous blood by venipuncture |
802 |
659 |
$19.44 |
| 90733 |
|
82 |
77 |
$0.31 |
| 91301 |
|
23 |
17 |
$0.05 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
174 |
172 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 99442 |
|
43 |
39 |
$0.00 |
| 90715 |
|
80 |
78 |
$0.00 |
| 90710 |
|
17 |
16 |
$0.00 |
| 90633 |
|
49 |
42 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |