| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,999 |
9,472 |
$946K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,648 |
1,590 |
$180K |
| 99401 |
|
3,893 |
3,377 |
$109K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,976 |
4,359 |
$100K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
387 |
385 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
309 |
307 |
$36K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
235 |
233 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
91 |
89 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
70 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
162 |
149 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
2,643 |
2,605 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
113 |
110 |
$3K |
| 99072 |
|
1,356 |
1,165 |
$2K |
| 3074F |
|
2,676 |
2,388 |
$2K |
| 3078F |
|
2,545 |
2,291 |
$2K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
120 |
113 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
65 |
65 |
$977.94 |
| 90674 |
|
26 |
26 |
$641.91 |
| 3079F |
|
461 |
442 |
$512.50 |
| 0011A |
|
15 |
15 |
$462.45 |
| 0012A |
|
12 |
12 |
$457.32 |
| 90688 |
|
15 |
15 |
$246.87 |
| 99406 |
|
15 |
14 |
$225.72 |
| 3075F |
|
117 |
114 |
$157.50 |
| 3077F |
|
88 |
82 |
$47.50 |
| 1160F |
|
158 |
142 |
$20.00 |
| 91301 |
|
25 |
25 |
$0.10 |
| 3008F |
|
3,229 |
2,833 |
$0.00 |
| 99000 |
|
36 |
31 |
$0.00 |
| 99429 |
|
13 |
12 |
$0.00 |