| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,180 |
2,512 |
$268K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,205 |
1,029 |
$78K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
689 |
540 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
241 |
227 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
63 |
58 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
49 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
45 |
43 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$2K |
| 0001A |
|
30 |
29 |
$673.26 |
| 92551 |
|
78 |
76 |
$661.50 |
| 0002A |
|
17 |
17 |
$610.95 |
| 99173 |
|
86 |
85 |
$160.52 |
| 0011A |
|
13 |
13 |
$156.84 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
41 |
$122.14 |
| 90686 |
|
88 |
84 |
$98.99 |
| 81005 |
|
14 |
14 |
$33.67 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90672 |
|
18 |
18 |
$0.00 |