| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,080 |
12,485 |
$770K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,390 |
2,975 |
$291K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,714 |
2,602 |
$231K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,155 |
2,137 |
$202K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,351 |
4,279 |
$185K |
| 90461 |
|
2,295 |
2,266 |
$101K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
300 |
299 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
168 |
168 |
$15K |
| 99460 |
|
24 |
24 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
52 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
537 |
520 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
27 |
26 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
38 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
33 |
$597.99 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$243.04 |
| 90674 |
|
12 |
12 |
$238.15 |
| 36416 |
|
44 |
40 |
$123.10 |
| 81000 |
|
12 |
12 |
$43.44 |
| 90685 |
|
98 |
97 |
$19.63 |
| 90686 |
|
680 |
672 |
$17.13 |
| 90670 |
|
1,264 |
1,247 |
$0.00 |
| 90633 |
|
119 |
116 |
$0.00 |
| 90672 |
|
43 |
43 |
$0.00 |
| 90710 |
|
52 |
52 |
$0.00 |
| 90677 |
|
179 |
179 |
$0.00 |
| 90680 |
|
924 |
917 |
$0.00 |
| 90698 |
|
1,135 |
1,121 |
$0.00 |
| 90744 |
|
310 |
307 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90660 |
|
14 |
14 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |