| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,781 |
9,710 |
$778K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,196 |
4,190 |
$313K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
723 |
710 |
$67K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
616 |
600 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
501 |
491 |
$50K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,047 |
2,833 |
$19K |
| 97803 |
|
1,735 |
1,668 |
$18K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
818 |
746 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
128 |
124 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,742 |
1,500 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
586 |
538 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
880 |
849 |
$9K |
| 90686 |
|
330 |
325 |
$4K |
| 99423 |
|
19 |
17 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
12 |
$953.80 |
| 92567 |
|
281 |
234 |
$668.47 |
| 99050 |
|
85 |
85 |
$625.17 |
| 93000 |
|
35 |
35 |
$480.99 |
| 36415 |
Collection of venous blood by venipuncture |
146 |
139 |
$255.00 |
| 90633 |
|
31 |
31 |
$238.54 |
| 94010 |
|
21 |
15 |
$71.43 |
| 90671 |
|
12 |
12 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,167 |
1,006 |
$0.00 |
| 90619 |
|
30 |
27 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |