| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
639 |
554 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
125 |
122 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
121 |
117 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
34 |
32 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
107 |
107 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
59 |
59 |
$2K |
| 99173 |
|
56 |
56 |
$2K |
| 87430 |
|
93 |
90 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 81000 |
|
148 |
143 |
$581.81 |
| 36415 |
Collection of venous blood by venipuncture |
184 |
178 |
$493.88 |
| 85014 |
|
120 |
120 |
$356.59 |
| 99080 |
|
51 |
51 |
$255.00 |
| 87807 |
|
13 |
12 |
$195.64 |
| 90686 |
|
37 |
36 |
$20.61 |
| 99000 |
|
29 |
28 |
$2.66 |
| 90734 |
|
12 |
12 |
$0.00 |
| 3008F |
|
178 |
147 |
$0.00 |
| 3075F |
|
18 |
15 |
$0.00 |