| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,174 |
22,138 |
$1.42M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,965 |
6,876 |
$477K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,360 |
3,293 |
$350K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,976 |
2,748 |
$238K |
| 99000 |
|
5,148 |
4,980 |
$111K |
| 0002A |
|
483 |
458 |
$14K |
| 0001A |
|
519 |
502 |
$13K |
| 99215 |
Prolong outpt/office vis |
59 |
59 |
$7K |
| 0031A |
|
67 |
66 |
$2K |
| 0012A |
|
100 |
100 |
$1K |
| 0011A |
|
114 |
110 |
$1K |
| 0072A |
|
22 |
22 |
$894.64 |
| 90686 |
|
58 |
58 |
$355.55 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
33 |
32 |
$323.07 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$126.70 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
15 |
$122.79 |
| 36416 |
|
33 |
32 |
$86.46 |
| 91300 |
|
1,196 |
1,052 |
$8.25 |
| 91301 |
|
318 |
294 |
$8.25 |