| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,638 |
10,498 |
$1.03M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,639 |
12,456 |
$807K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,531 |
5,515 |
$237K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,224 |
1,199 |
$105K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
370 |
370 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
320 |
320 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
121 |
121 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
144 |
144 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,049 |
1,049 |
$9K |
| 90686 |
|
1,235 |
1,235 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
400 |
400 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
50 |
49 |
$3K |
| 96127 |
|
326 |
324 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
16 |
16 |
$1K |
| 90674 |
|
126 |
126 |
$1K |
| 0001A |
|
40 |
40 |
$1K |
| 99442 |
|
35 |
35 |
$876.91 |
| 36415 |
Collection of venous blood by venipuncture |
222 |
218 |
$454.63 |
| 90670 |
|
134 |
134 |
$441.49 |
| 81025 |
|
57 |
57 |
$425.41 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24 |
24 |
$356.38 |
| 90656 |
|
12 |
12 |
$251.16 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
15 |
$129.60 |
| 90661 |
|
17 |
17 |
$34.50 |
| 96160 |
|
1,768 |
1,767 |
$5.94 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90700 |
|
15 |
15 |
$0.00 |
| 90647 |
|
76 |
76 |
$0.00 |
| 90651 |
|
46 |
46 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |