| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,833 |
8,478 |
$247K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
404 |
364 |
$24K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
227 |
203 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
5,339 |
4,322 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
147 |
122 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
75 |
$5K |
| 99490 |
Ccm add 20min |
1,673 |
1,052 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
179 |
150 |
$3K |
| 90688 |
|
237 |
176 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
33 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
199 |
179 |
$2K |
| 99454 |
|
984 |
725 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
215 |
163 |
$1K |
| 99457 |
|
1,225 |
862 |
$1K |
| 90674 |
|
92 |
80 |
$937.20 |
| 99385 |
|
12 |
12 |
$908.88 |
| 99458 |
|
1,060 |
721 |
$870.40 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$749.03 |
| 96127 |
|
223 |
182 |
$527.34 |
| 90686 |
|
91 |
78 |
$308.80 |
| 99487 |
Ccm add 20min |
145 |
72 |
$214.77 |
| G0008 |
Administration of influenza virus vaccine |
53 |
48 |
$166.76 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$113.20 |
| 99439 |
|
72 |
40 |
$79.03 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
30 |
18 |
$53.16 |
| 99489 |
Ccm add 20min |
38 |
20 |
$51.12 |
| 81003 |
|
14 |
12 |
$15.12 |
| 99453 |
|
19 |
15 |
$14.47 |