| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,380 |
2,951 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
752 |
677 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
537 |
483 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
464 |
387 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,927 |
1,748 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
853 |
737 |
$6K |
| 90619 |
|
67 |
65 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
41 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
165 |
154 |
$2K |
| 90671 |
|
12 |
12 |
$1K |
| 90670 |
|
35 |
28 |
$816.26 |
| 90686 |
|
599 |
574 |
$652.49 |
| 11720 |
|
98 |
82 |
$613.64 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
16 |
$254.58 |
| 3074F |
|
2,979 |
2,751 |
$200.00 |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
12 |
12 |
$163.39 |
| 36415 |
Collection of venous blood by venipuncture |
107 |
72 |
$144.66 |
| 1159F |
|
3,057 |
2,801 |
$124.15 |
| 90461 |
|
39 |
38 |
$115.92 |
| 11056 |
|
18 |
12 |
$97.28 |
| 90656 |
|
143 |
142 |
$67.33 |
| 90474 |
|
16 |
13 |
$30.00 |
| 92558 |
|
177 |
60 |
$12.61 |
| 3008F |
|
4,211 |
3,501 |
$12.61 |
| 90685 |
|
12 |
12 |
$10.00 |
| 2001F |
|
4,919 |
3,941 |
$0.00 |
| 2000F |
|
3,415 |
2,927 |
$0.00 |
| 3079F |
|
199 |
125 |
$0.00 |
| 1000F |
|
1,959 |
1,766 |
$0.00 |
| 1126F |
|
2,631 |
2,438 |
$0.00 |
| 90651 |
|
260 |
228 |
$0.00 |
| 1220F |
|
1,072 |
953 |
$0.00 |
| 4010F |
|
55 |
35 |
$0.00 |
| 3351F |
|
77 |
40 |
$0.00 |
| 36416 |
|
32 |
16 |
$0.00 |
| 1125F |
|
18 |
14 |
$0.00 |
| 1157F |
|
136 |
74 |
$0.00 |
| 3078F |
|
2,944 |
2,632 |
$0.00 |
| 1160F |
|
3,055 |
2,800 |
$0.00 |
| 3077F |
|
37 |
25 |
$0.00 |
| 99173 |
|
282 |
148 |
$0.00 |
| 90734 |
|
21 |
18 |
$0.00 |
| 90715 |
|
31 |
30 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |