| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,623 |
3,450 |
$247K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,685 |
1,510 |
$126K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,237 |
2,679 |
$109K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,276 |
1,203 |
$26K |
| 92583 |
|
726 |
687 |
$24K |
| 99215 |
Prolong outpt/office vis |
88 |
85 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
149 |
143 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
95 |
92 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
594 |
550 |
$4K |
| 99050 |
|
291 |
282 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
951 |
898 |
$2K |
| 90686 |
|
367 |
358 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
34 |
25 |
$2K |
| 99173 |
|
712 |
672 |
$1K |
| 99401 |
|
74 |
64 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
14 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$803.01 |
| 90656 |
|
62 |
62 |
$450.66 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$138.00 |
| 96127 |
|
16 |
16 |
$47.68 |
| 91307 |
|
28 |
25 |
$28.00 |
| 83655 |
|
26 |
24 |
$4.00 |
| 90461 |
|
75 |
72 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |