| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,043 |
5,693 |
$324K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,490 |
1,213 |
$100K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
225 |
211 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
113 |
90 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
44 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
26 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
162 |
144 |
$2K |
| 99173 |
|
251 |
224 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
12 |
$1K |
| 90756 |
|
45 |
34 |
$1K |
| 94760 |
|
654 |
471 |
$796.98 |
| 90686 |
|
75 |
69 |
$705.51 |
| 36415 |
Collection of venous blood by venipuncture |
630 |
596 |
$654.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
12 |
$235.50 |
| 99406 |
|
35 |
24 |
$158.18 |
| 2001F |
|
604 |
430 |
$0.00 |
| 2000F |
|
955 |
719 |
$0.00 |
| 3074F |
|
678 |
511 |
$0.00 |
| 3008F |
|
695 |
493 |
$0.00 |
| 1036F |
|
738 |
580 |
$0.00 |
| 2010F |
|
602 |
427 |
$0.00 |
| 3079F |
|
108 |
94 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 1159F |
|
817 |
616 |
$0.00 |
| 3078F |
|
668 |
508 |
$0.00 |
| 3725F |
|
807 |
605 |
$0.00 |
| 3077F |
|
37 |
25 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
85 |
69 |
$0.00 |
| 99497 |
|
22 |
20 |
$0.00 |
| 3016F |
|
115 |
59 |
$0.00 |