| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,125 |
5,638 |
$348K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
733 |
578 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,494 |
1,257 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
565 |
514 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
341 |
298 |
$36K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
62 |
50 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
36 |
36 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
224 |
222 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
376 |
366 |
$3K |
| 81002 |
|
1,537 |
1,190 |
$3K |
| 81025 |
|
169 |
133 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
112 |
108 |
$1K |
| 85018 |
|
328 |
297 |
$873.02 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
28 |
$497.34 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$441.01 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$428.82 |
| 83655 |
|
14 |
14 |
$272.16 |
| 90734 |
|
29 |
29 |
$235.75 |
| 90620 |
|
27 |
27 |
$150.00 |
| 80061 |
Lipid panel |
277 |
221 |
$115.71 |
| 90670 |
|
35 |
33 |
$100.00 |
| 82044 |
|
25 |
25 |
$85.46 |
| 90707 |
|
12 |
12 |
$80.00 |
| 82570 |
|
25 |
25 |
$75.24 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
172 |
135 |
$63.55 |
| 99173 |
|
22 |
22 |
$53.20 |
| 82947 |
|
286 |
234 |
$46.57 |
| 36415 |
Collection of venous blood by venipuncture |
269 |
216 |
$18.00 |
| 90649 |
|
27 |
27 |
$0.00 |
| 90688 |
|
80 |
80 |
$0.00 |