| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,868 |
4,690 |
$302K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,274 |
1,088 |
$64K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
228 |
204 |
$16K |
| 81025 |
|
2,248 |
1,957 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
74 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
79 |
64 |
$5K |
| 81002 |
|
2,236 |
1,987 |
$5K |
| 92551 |
|
645 |
547 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
31 |
29 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
298 |
262 |
$2K |
| 99173 |
|
901 |
799 |
$697.69 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
64 |
62 |
$613.77 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
37 |
31 |
$468.65 |
| 36415 |
Collection of venous blood by venipuncture |
179 |
170 |
$458.59 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
16 |
$373.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
18 |
$179.62 |
| 96160 |
|
150 |
125 |
$169.24 |
| 90651 |
|
35 |
32 |
$0.00 |
| 90619 |
|
19 |
19 |
$0.00 |
| 90734 |
|
24 |
18 |
$0.00 |
| 90649 |
|
28 |
18 |
$0.00 |