| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,028 |
855 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
110 |
94 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
113 |
102 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
137 |
122 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
493 |
431 |
$4K |
| 81002 |
|
449 |
408 |
$965.45 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
116 |
104 |
$702.42 |
| 99000 |
|
671 |
589 |
$701.65 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
68 |
59 |
$653.45 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
48 |
35 |
$613.44 |
| 90688 |
|
241 |
207 |
$450.00 |
| 36415 |
Collection of venous blood by venipuncture |
65 |
54 |
$164.84 |
| 90649 |
|
17 |
13 |
$145.36 |
| 90734 |
|
14 |
12 |
$0.00 |
| 90658 |
|
64 |
59 |
$0.00 |