| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,104 |
6,221 |
$77K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,358 |
1,230 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,143 |
1,114 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
838 |
687 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
413 |
403 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
434 |
412 |
$8K |
| 99442 |
|
442 |
384 |
$5K |
| 99441 |
|
364 |
323 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
40 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
78 |
75 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
69 |
$725.96 |
| 99385 |
|
144 |
140 |
$718.68 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
211 |
198 |
$127.63 |
| 3008F |
|
441 |
388 |
$91.49 |
| 1220F |
|
330 |
313 |
$39.21 |
| 3074F |
|
114 |
98 |
$39.21 |
| 99386 |
|
14 |
13 |
$13.18 |
| 3015F |
|
13 |
12 |
$13.07 |
| 2001F |
|
527 |
468 |
$13.07 |
| 36415 |
Collection of venous blood by venipuncture |
363 |
316 |
$8.77 |
| 99383 |
|
12 |
12 |
$0.12 |
| 3078F |
|
102 |
87 |
$0.00 |
| 90461 |
|
68 |
66 |
$0.00 |
| 2000F |
|
149 |
127 |
$0.00 |