| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,094 |
6,307 |
$158K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,451 |
1,125 |
$34K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
347 |
306 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
4,315 |
3,400 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
80 |
67 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
65 |
14 |
$1K |
| 82962 |
|
1,548 |
1,140 |
$625.45 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
12 |
$578.88 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
14 |
$311.85 |
| 90674 |
|
41 |
27 |
$297.34 |
| 90686 |
|
58 |
49 |
$282.75 |
| 90656 |
|
42 |
33 |
$267.73 |
| 96127 |
|
117 |
87 |
$262.99 |
| 90756 |
|
43 |
30 |
$250.24 |
| 3074F |
|
1,026 |
840 |
$200.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$186.89 |
| 3078F |
|
1,225 |
956 |
$180.00 |
| 92551 |
|
21 |
16 |
$108.51 |
| 99173 |
|
19 |
15 |
$68.67 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
82 |
64 |
$62.80 |
| 3077F |
|
176 |
131 |
$40.00 |
| 3079F |
|
91 |
70 |
$30.00 |
| 3075F |
|
34 |
24 |
$20.00 |
| 81003 |
|
17 |
13 |
$9.35 |
| 1160F |
|
2,330 |
1,844 |
$0.08 |
| 1159F |
|
2,335 |
1,848 |
$0.04 |
| 3008F |
|
2,663 |
2,101 |
$0.02 |
| G0008 |
Administration of influenza virus vaccine |
74 |
56 |
$0.00 |