| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,502 |
1,316 |
$61K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,590 |
1,004 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
97 |
96 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
105 |
105 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
222 |
204 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
870 |
785 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
65 |
53 |
$3K |
| 36410 |
|
71 |
69 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99173 |
|
695 |
679 |
$1K |
| 90461 |
|
138 |
116 |
$1K |
| 3008F |
|
453 |
433 |
$610.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
125 |
121 |
$591.36 |
| 90656 |
|
38 |
38 |
$506.74 |
| 90686 |
|
105 |
99 |
$162.28 |
| 36415 |
Collection of venous blood by venipuncture |
117 |
115 |
$157.80 |
| 99000 |
|
252 |
246 |
$9.50 |
| 97802 |
|
14 |
13 |
$0.00 |
| 99072 |
|
798 |
705 |
$0.00 |