| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,208 |
3,556 |
$316K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,800 |
1,483 |
$163K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
556 |
411 |
$40K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
581 |
367 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,437 |
1,387 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
426 |
305 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
374 |
271 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
438 |
416 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
237 |
173 |
$17K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
1,250 |
1,203 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
187 |
100 |
$12K |
| 90686 |
|
1,040 |
1,015 |
$8K |
| 96127 |
|
1,931 |
1,866 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
497 |
455 |
$5K |
| 90677 |
|
73 |
39 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
95 |
94 |
$1K |
| W5000 |
|
26 |
14 |
$1K |
| 83655 |
|
49 |
29 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,179 |
1,162 |
$805.32 |
| 90656 |
|
115 |
115 |
$751.44 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
13 |
$725.18 |
| 90480 |
|
15 |
15 |
$549.37 |
| 90651 |
|
26 |
26 |
$290.00 |
| 81002 |
|
45 |
40 |
$259.41 |
| 85018 |
|
35 |
29 |
$235.03 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
853 |
809 |
$177.63 |
| 90670 |
|
45 |
40 |
$150.50 |
| 90715 |
|
15 |
15 |
$51.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,102 |
1,049 |
$0.00 |
| 99000 |
|
194 |
194 |
$0.00 |
| 94760 |
|
29 |
29 |
$0.00 |
| 90461 |
|
229 |
228 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |