| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,015 |
2,542 |
$173K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
695 |
674 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
656 |
584 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
344 |
320 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
417 |
317 |
$24K |
| 90686 |
|
1,455 |
1,369 |
$17K |
| 96127 |
|
2,030 |
1,662 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,548 |
2,343 |
$8K |
| 85018 |
|
2,967 |
2,786 |
$7K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
530 |
465 |
$5K |
| 90677 |
|
37 |
36 |
$5K |
| 90670 |
|
160 |
144 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
40 |
$3K |
| 90656 |
|
182 |
178 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
66 |
58 |
$2K |
| 96160 |
|
1,150 |
879 |
$2K |
| 90461 |
|
798 |
714 |
$2K |
| 90671 |
|
13 |
12 |
$1K |
| 99072 |
|
1,087 |
916 |
$1K |
| 36416 |
|
2,748 |
2,549 |
$914.85 |
| 90698 |
|
39 |
36 |
$501.39 |
| 81002 |
|
82 |
80 |
$234.46 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
72 |
$221.74 |
| 36415 |
Collection of venous blood by venipuncture |
84 |
77 |
$196.50 |
| 90685 |
|
15 |
15 |
$182.45 |
| 90633 |
|
13 |
12 |
$136.40 |
| 90744 |
|
15 |
13 |
$128.96 |
| 99000 |
|
15 |
14 |
$0.00 |