| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,718 |
1,607 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
549 |
534 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
243 |
239 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
110 |
109 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
92 |
92 |
$7K |
| 90674 |
|
171 |
168 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$2K |
| 81025 |
|
244 |
242 |
$2K |
| 85018 |
|
710 |
701 |
$2K |
| 96127 |
|
325 |
323 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
830 |
808 |
$1K |
| 81002 |
|
309 |
308 |
$894.79 |
| 92551 |
|
85 |
85 |
$864.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
907 |
883 |
$713.54 |
| 90686 |
|
43 |
43 |
$473.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
44 |
40 |
$373.06 |
| 99173 |
|
84 |
84 |
$202.54 |
| 90633 |
|
12 |
12 |
$121.00 |
| 82947 |
|
28 |
25 |
$57.01 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
377 |
365 |
$17.00 |