| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,216 |
6,278 |
$422K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,409 |
2,397 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
891 |
857 |
$70K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
666 |
666 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
662 |
661 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
567 |
541 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
513 |
513 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
567 |
543 |
$20K |
| 90461 |
|
315 |
315 |
$17K |
| 98960 |
|
1,908 |
1,908 |
$11K |
| 90671 |
|
47 |
47 |
$11K |
| 97802 |
|
1,404 |
1,404 |
$7K |
| 99173 |
|
1,067 |
1,065 |
$3K |
| 81002 |
|
1,301 |
1,295 |
$2K |
| 0072A |
|
35 |
35 |
$1K |
| 0071A |
|
34 |
34 |
$1K |
| 91307 |
|
43 |
40 |
$356.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
33 |
$276.00 |
| 90686 |
|
115 |
115 |
$60.64 |
| 36415 |
Collection of venous blood by venipuncture |
39 |
39 |
$30.58 |
| 90670 |
|
108 |
108 |
$0.00 |
| 90734 |
|
37 |
37 |
$0.00 |
| 99000 |
|
14 |
14 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 87081 |
|
16 |
16 |
$0.00 |