| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,074 |
5,542 |
$360K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,078 |
3,686 |
$95K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,083 |
1,035 |
$81K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
922 |
901 |
$77K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
795 |
763 |
$58K |
| 92552 |
|
1,993 |
1,976 |
$46K |
| 99401 |
|
1,242 |
1,229 |
$29K |
| 92081 |
|
1,433 |
1,414 |
$22K |
| 86580 |
|
2,082 |
2,057 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
199 |
190 |
$13K |
| 90461 |
|
408 |
394 |
$9K |
| 36410 |
|
1,288 |
1,259 |
$8K |
| 99215 |
Prolong outpt/office vis |
60 |
59 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
82 |
68 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
50 |
47 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
921 |
909 |
$2K |
| 90686 |
|
950 |
925 |
$2K |
| 0071A |
|
38 |
38 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 96127 |
|
396 |
391 |
$930.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$216.47 |
| 99429 |
|
34 |
32 |
$122.50 |
| 99173 |
|
109 |
107 |
$51.96 |
| 91307 |
|
19 |
17 |
$3.64 |
| 90685 |
|
13 |
12 |
$0.00 |
| 90700 |
|
13 |
12 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |