| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,020 |
12,833 |
$2.01M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,028 |
1,611 |
$203K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,118 |
916 |
$125K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
59 |
48 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
55 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
24 |
$3K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
61 |
48 |
$695.56 |
| 90686 |
|
353 |
291 |
$580.24 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$222.88 |
| 0001A |
|
112 |
110 |
$81.46 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
390 |
328 |
$41.67 |
| 0002A |
|
90 |
81 |
$39.21 |
| 36415 |
Collection of venous blood by venipuncture |
920 |
808 |
$27.73 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
180 |
176 |
$18.00 |
| 91300 |
|
241 |
221 |
$0.34 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
266 |
221 |
$0.00 |
| 92551 |
|
387 |
329 |
$0.00 |
| 96127 |
|
41 |
36 |
$0.00 |
| 90461 |
|
113 |
75 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
611 |
443 |
$0.00 |
| 99173 |
|
357 |
310 |
$0.00 |
| 0004A |
|
26 |
26 |
$0.00 |
| 90734 |
|
26 |
26 |
$0.00 |