| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,107 |
9,445 |
$159K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
599 |
566 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
488 |
441 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
562 |
556 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
165 |
164 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
333 |
332 |
$8K |
| 99381 |
|
71 |
67 |
$7K |
| 92552 |
|
2,299 |
2,290 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
141 |
140 |
$4K |
| 92060 |
|
1,826 |
1,821 |
$3K |
| 83655 |
|
433 |
431 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
953 |
746 |
$2K |
| 90670 |
|
331 |
331 |
$2K |
| 90647 |
|
319 |
319 |
$1K |
| 99460 |
|
15 |
15 |
$787.35 |
| 90700 |
|
153 |
153 |
$702.00 |
| 90633 |
|
77 |
77 |
$420.75 |
| 85018 |
|
493 |
493 |
$387.44 |
| 90688 |
|
74 |
74 |
$359.92 |
| 36415 |
Collection of venous blood by venipuncture |
568 |
548 |
$320.05 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
37 |
16 |
$298.96 |
| 90686 |
|
130 |
129 |
$261.00 |
| 99462 |
|
18 |
16 |
$240.71 |
| 90716 |
|
55 |
55 |
$234.00 |
| 90723 |
|
49 |
49 |
$234.00 |
| 90651 |
|
76 |
76 |
$229.46 |
| 90707 |
|
38 |
38 |
$171.00 |
| 90713 |
|
29 |
29 |
$153.00 |
| 97802 |
|
54 |
54 |
$151.75 |
| 99000 |
|
44 |
42 |
$150.85 |
| 81025 |
|
84 |
77 |
$136.15 |
| 83026 |
|
45 |
45 |
$116.10 |
| 99173 |
|
46 |
46 |
$115.38 |
| 90680 |
|
12 |
12 |
$45.00 |
| 93000 |
|
12 |
12 |
$28.70 |
| 1159F |
|
42 |
42 |
$0.00 |
| 1160F |
|
41 |
41 |
$0.00 |
| 3078F |
|
44 |
43 |
$0.00 |
| 3049F |
|
17 |
17 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
31 |
31 |
$0.00 |
| 3074F |
|
76 |
72 |
$0.00 |
| 3044F |
|
27 |
27 |
$0.00 |