| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,292 |
20,446 |
$1.37M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,980 |
6,394 |
$552K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,256 |
2,037 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
776 |
644 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
138 |
121 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
777 |
378 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
801 |
750 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
165 |
149 |
$9K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
1,636 |
1,636 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
2,150 |
2,036 |
$6K |
| 90686 |
|
555 |
514 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
38 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
197 |
178 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
29 |
$2K |
| 90651 |
|
19 |
16 |
$2K |
| 81002 |
|
804 |
726 |
$2K |
| 99442 |
|
34 |
26 |
$1K |
| S0315 |
Disease management program; initial assessment and initiation of the program |
48 |
48 |
$360.00 |
| 99441 |
|
14 |
14 |
$321.99 |
| 97597 |
|
17 |
12 |
$309.38 |
| 81003 |
|
56 |
55 |
$117.88 |