| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,512 |
4,094 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
1,252 |
1,198 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
148 |
146 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
104 |
104 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
89 |
88 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
66 |
66 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,242 |
1,188 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
89 |
89 |
$921.93 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
149 |
147 |
$798.78 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$333.50 |
| 90461 |
|
30 |
30 |
$282.94 |
| 90658 |
|
17 |
17 |
$255.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
167 |
166 |
$15.00 |