| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,344 |
1,192 |
$71K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
290 |
276 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
220 |
214 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
211 |
198 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
176 |
160 |
$15K |
| 92551 |
|
1,242 |
1,156 |
$11K |
| 86580 |
|
925 |
874 |
$7K |
| 90686 |
|
569 |
540 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
85 |
66 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,981 |
1,802 |
$2K |
| 90651 |
|
86 |
80 |
$2K |
| 90734 |
|
89 |
88 |
$2K |
| 99173 |
|
991 |
931 |
$2K |
| 90670 |
|
103 |
88 |
$2K |
| 90649 |
|
25 |
25 |
$1K |
| 85013 |
|
401 |
366 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
86 |
82 |
$751.66 |
| 90461 |
|
675 |
607 |
$701.56 |
| 36415 |
Collection of venous blood by venipuncture |
245 |
215 |
$667.20 |
| 81003 |
|
283 |
257 |
$626.02 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$515.88 |
| 83655 |
|
36 |
33 |
$417.87 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
17 |
$332.58 |
| 90633 |
|
26 |
26 |
$313.55 |
| 90680 |
|
19 |
12 |
$295.97 |
| 99177 |
|
64 |
60 |
$229.00 |
| 90715 |
|
12 |
12 |
$164.25 |
| 36416 |
|
192 |
186 |
$119.00 |
| 90685 |
|
20 |
12 |
$114.40 |