| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,220 |
8,461 |
$664K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
537 |
537 |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,872 |
1,729 |
$55K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
378 |
378 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
302 |
302 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,257 |
1,253 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
182 |
182 |
$16K |
| 90686 |
|
647 |
647 |
$6K |
| 96127 |
|
1,248 |
1,248 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46 |
46 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
265 |
264 |
$2K |
| 90658 |
|
35 |
35 |
$200.09 |
| 82274 |
|
12 |
12 |
$103.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$79.60 |
| 36415 |
Collection of venous blood by venipuncture |
293 |
293 |
$67.54 |
| 82962 |
|
33 |
32 |
$23.52 |
| 90734 |
|
15 |
15 |
$0.00 |
| 3008F |
|
210 |
210 |
$0.00 |
| 90651 |
|
41 |
41 |
$0.00 |