| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,566 |
2,852 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,055 |
1,630 |
$66K |
| 99000 |
|
359 |
290 |
$991.76 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
12 |
$517.77 |
| 3008F |
|
625 |
493 |
$510.24 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
27 |
$445.61 |
| 80305 |
|
44 |
28 |
$394.34 |
| 85027 |
|
67 |
52 |
$295.68 |
| 90658 |
|
36 |
32 |
$167.76 |
| 81003 |
|
17 |
12 |
$19.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
115 |
106 |
$12.53 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
575 |
446 |
$0.00 |