| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,230 |
4,100 |
$119K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,337 |
1,001 |
$12K |
| 99401 |
|
974 |
801 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
276 |
230 |
$10K |
| 86328 |
|
1,029 |
842 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
129 |
101 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
381 |
345 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
110 |
98 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
93 |
90 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
116 |
89 |
$2K |
| 92552 |
|
171 |
149 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
25 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
19 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
12 |
$1K |
| 99000 |
|
546 |
419 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
30 |
$955.38 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
14 |
$804.51 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$761.89 |
| 36415 |
Collection of venous blood by venipuncture |
60 |
43 |
$493.25 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
13 |
$151.21 |
| 81002 |
|
44 |
42 |
$74.28 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$67.84 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
18 |
12 |
$11.03 |
| 3008F |
|
834 |
627 |
$0.00 |
| 36416 |
|
831 |
630 |
$0.00 |
| 92551 |
|
31 |
17 |
$0.00 |
| 99173 |
|
405 |
262 |
$0.00 |
| 3725F |
|
176 |
104 |
$0.00 |