| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,914 |
2,135 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
93 |
87 |
$5K |
| 86328 |
|
345 |
293 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
100 |
87 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
41 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
115 |
83 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
276 |
198 |
$2K |
| 99401 |
|
250 |
203 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 99000 |
|
370 |
321 |
$999.58 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
65 |
56 |
$968.64 |
| 99188 |
|
51 |
50 |
$533.68 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
13 |
$301.61 |
| 36416 |
|
118 |
114 |
$177.26 |
| 99173 |
|
28 |
28 |
$51.46 |
| 3725F |
|
45 |
36 |
$28.98 |
| 81002 |
|
13 |
13 |
$21.97 |
| 36415 |
Collection of venous blood by venipuncture |
30 |
26 |
$0.00 |