| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,978 |
5,404 |
$371K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,922 |
1,968 |
$133K |
| 99199 |
Unlisted special service, procedure or report |
33,518 |
32,871 |
$124K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,341 |
1,116 |
$25K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
760 |
656 |
$25K |
| 99215 |
Prolong outpt/office vis |
503 |
321 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
234 |
197 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
218 |
187 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
174 |
152 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
125 |
110 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,238 |
1,086 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
88 |
78 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
655 |
527 |
$1K |
| 99173 |
|
190 |
165 |
$8.00 |
| 99172 |
|
484 |
408 |
$1.00 |
| 90648 |
|
26 |
26 |
$0.00 |
| 90633 |
|
50 |
41 |
$0.00 |
| 90670 |
|
115 |
110 |
$0.00 |
| 90734 |
|
20 |
15 |
$0.00 |