| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,756 |
4,887 |
$347K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,605 |
1,373 |
$117K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
468 |
370 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
885 |
805 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
562 |
542 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
57 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
49 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,370 |
1,246 |
$3K |
| 85018 |
|
755 |
736 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$1K |
| 90461 |
|
54 |
51 |
$910.03 |
| 90674 |
|
52 |
40 |
$542.52 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
16 |
$514.62 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22 |
22 |
$290.29 |
| 81003 |
|
112 |
90 |
$266.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$103.25 |
| 90686 |
|
14 |
14 |
$45.78 |
| 90656 |
|
126 |
125 |
$0.00 |