| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,021 |
8,485 |
$551K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,523 |
1,427 |
$135K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,804 |
4,733 |
$91K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
739 |
735 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
630 |
622 |
$60K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
288 |
276 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
142 |
142 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
956 |
937 |
$11K |
| 99000 |
|
779 |
745 |
$3K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
153 |
144 |
$2K |
| 96127 |
|
338 |
331 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
13 |
$359.96 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$351.30 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
14 |
$285.90 |
| 85018 |
|
79 |
77 |
$176.02 |
| 36416 |
|
55 |
54 |
$125.70 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
16 |
$30.42 |
| 81002 |
|
12 |
12 |
$26.20 |
| 90686 |
|
1,087 |
1,084 |
$0.00 |
| 90647 |
|
27 |
27 |
$0.00 |
| 90670 |
|
74 |
74 |
$0.00 |
| 90672 |
|
54 |
52 |
$0.00 |