| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,990 |
8,221 |
$1.19M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,552 |
3,982 |
$437K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,067 |
1,022 |
$152K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
958 |
935 |
$138K |
| W0037 |
|
4,532 |
4,532 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
288 |
278 |
$41K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,692 |
1,608 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
117 |
115 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
55 |
$6K |
| 99215 |
Prolong outpt/office vis |
46 |
40 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
14 |
$2K |
| 90686 |
|
821 |
783 |
$1K |
| 91322 |
|
62 |
58 |
$490.48 |
| 71046 |
Radiologic examination, chest; 2 views |
86 |
86 |
$278.38 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
586 |
532 |
$220.96 |
| 90473 |
|
371 |
361 |
$172.82 |
| 90656 |
|
258 |
244 |
$150.20 |
| 36415 |
Collection of venous blood by venipuncture |
2,099 |
1,799 |
$131.89 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
91 |
83 |
$85.12 |
| 90480 |
|
56 |
53 |
$16.00 |
| 90680 |
|
462 |
444 |
$0.00 |
| 90723 |
|
252 |
249 |
$0.00 |
| 90697 |
|
211 |
195 |
$0.00 |
| 90651 |
|
29 |
29 |
$0.00 |
| 90671 |
|
348 |
329 |
$0.00 |
| 90633 |
|
78 |
77 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,458 |
1,413 |
$0.00 |
| 90670 |
|
404 |
398 |
$0.00 |
| 90648 |
|
402 |
394 |
$0.00 |
| 90710 |
|
71 |
67 |
$0.00 |