| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,019 |
4,273 |
$348K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,857 |
3,274 |
$185K |
| 90739 |
|
421 |
334 |
$56K |
| 90651 |
|
466 |
351 |
$48K |
| 90716 |
|
568 |
412 |
$47K |
| 90686 |
|
2,456 |
1,930 |
$40K |
| 90713 |
|
988 |
706 |
$27K |
| 90677 |
|
109 |
87 |
$25K |
| 90746 |
|
321 |
230 |
$22K |
| 0012A |
|
195 |
191 |
$8K |
| 90715 |
|
296 |
223 |
$8K |
| 90620 |
|
84 |
62 |
$7K |
| 90747 |
|
46 |
27 |
$6K |
| 0001A |
|
197 |
176 |
$6K |
| 90707 |
|
117 |
86 |
$6K |
| 90714 |
|
249 |
176 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
72 |
71 |
$5K |
| 90633 |
|
347 |
275 |
$5K |
| 99215 |
Prolong outpt/office vis |
80 |
68 |
$5K |
| 91321 |
|
272 |
215 |
$5K |
| 90744 |
|
237 |
174 |
$4K |
| 0002A |
|
91 |
75 |
$4K |
| 90656 |
|
177 |
146 |
$3K |
| 0011A |
|
56 |
55 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
26 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
16 |
$1K |
| 0013A |
|
28 |
26 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,980 |
1,663 |
$954.47 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
28 |
$725.81 |
| 91322 |
|
35 |
28 |
$581.16 |
| 90674 |
|
21 |
12 |
$351.75 |
| 36415 |
Collection of venous blood by venipuncture |
790 |
697 |
$347.50 |
| 90700 |
|
13 |
13 |
$218.07 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
414 |
275 |
$196.80 |
| 81025 |
|
18 |
12 |
$93.32 |