| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,167 |
11,294 |
$689K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,061 |
4,859 |
$419K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
389 |
385 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
142 |
142 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
111 |
111 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
78 |
78 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
354 |
353 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
653 |
645 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
65 |
64 |
$4K |
| 90686 |
|
305 |
305 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
59 |
56 |
$2K |
| 20610 |
|
42 |
38 |
$2K |
| 99460 |
|
13 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
740 |
722 |
$1K |
| 99442 |
|
22 |
22 |
$893.36 |
| 99462 |
|
19 |
12 |
$674.21 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
63 |
63 |
$506.50 |
| 99051 |
|
36 |
35 |
$149.38 |
| 90461 |
|
28 |
28 |
$149.32 |
| 96127 |
|
16 |
16 |
$61.50 |
| 99024 |
|
95 |
75 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |