| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,165 |
5,878 |
$239K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,458 |
3,726 |
$194K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
811 |
785 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
809 |
733 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,322 |
1,959 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,319 |
1,150 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
157 |
157 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
128 |
125 |
$7K |
| 90670 |
|
462 |
433 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
414 |
376 |
$6K |
| 90677 |
|
64 |
62 |
$6K |
| 99173 |
|
979 |
936 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
181 |
170 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,350 |
1,242 |
$3K |
| 90698 |
|
263 |
242 |
$1K |
| 90680 |
|
252 |
229 |
$1K |
| 90633 |
|
195 |
191 |
$924.43 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$794.06 |
| 81000 |
|
838 |
794 |
$696.84 |
| 90686 |
|
178 |
176 |
$505.27 |
| 90658 |
|
19 |
19 |
$195.05 |
| 90744 |
|
86 |
82 |
$140.83 |
| 90688 |
|
79 |
78 |
$131.14 |
| 85018 |
|
617 |
589 |
$91.63 |
| 90648 |
|
12 |
12 |
$37.88 |
| 90700 |
|
13 |
12 |
$35.48 |
| 99000 |
|
322 |
301 |
$0.00 |
| 90723 |
|
15 |
12 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
23 |
23 |
$0.00 |