| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,657 |
4,813 |
$249K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,721 |
1,557 |
$107K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
119 |
111 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
106 |
88 |
$6K |
| 81002 |
|
1,360 |
1,196 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,433 |
1,262 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
260 |
223 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
199 |
173 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
117 |
96 |
$1K |
| 92551 |
|
227 |
200 |
$1K |
| 81025 |
|
166 |
151 |
$955.23 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
12 |
$917.44 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
29 |
$898.09 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
12 |
$798.80 |
| 82948 |
|
307 |
228 |
$564.61 |
| 99173 |
|
245 |
213 |
$500.00 |
| 85018 |
|
411 |
373 |
$296.01 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$112.07 |
| 94760 |
|
27 |
24 |
$12.30 |
| 96160 |
|
85 |
85 |
$9.42 |
| 90649 |
|
96 |
75 |
$0.42 |
| 90715 |
|
25 |
25 |
$0.16 |
| 90656 |
|
27 |
24 |
$0.13 |
| 90734 |
|
37 |
37 |
$0.00 |
| 90633 |
|
32 |
15 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |