| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,535 |
4,903 |
$318K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,139 |
1,049 |
$94K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
390 |
342 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
995 |
914 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
309 |
273 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,320 |
1,158 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
219 |
198 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
496 |
446 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
63 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,067 |
1,903 |
$5K |
| 81003 |
|
1,155 |
770 |
$2K |
| 90686 |
|
365 |
350 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
24 |
$615.52 |
| 90461 |
|
494 |
454 |
$351.00 |
| 90715 |
|
27 |
26 |
$155.30 |
| 90674 |
|
18 |
17 |
$85.08 |
| 3078F |
|
753 |
624 |
$0.00 |
| 0502F |
|
169 |
115 |
$0.00 |
| 90670 |
|
180 |
154 |
$0.00 |
| 90710 |
|
22 |
13 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 3079F |
|
113 |
108 |
$0.00 |
| 90656 |
|
18 |
18 |
$0.00 |
| 90647 |
|
89 |
86 |
$0.00 |
| 90723 |
|
84 |
78 |
$0.00 |
| 3074F |
|
755 |
624 |
$0.00 |
| 3075F |
|
30 |
28 |
$0.00 |