| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,070 |
6,553 |
$1.35M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,659 |
1,362 |
$239K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,141 |
2,005 |
$145K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
563 |
503 |
$93K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
533 |
488 |
$89K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
493 |
460 |
$86K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
329 |
312 |
$57K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
265 |
232 |
$42K |
| 36416 |
|
744 |
614 |
$40K |
| 90686 |
|
431 |
396 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
182 |
175 |
$33K |
| W0037 |
|
3,754 |
3,754 |
$28K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,186 |
1,115 |
$20K |
| 81003 |
|
86 |
66 |
$12K |
| 90670 |
|
264 |
248 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
251 |
214 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
41 |
39 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
18 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
108 |
69 |
$3K |
| 99188 |
|
61 |
56 |
$2K |
| 83655 |
|
13 |
12 |
$2K |
| 90685 |
|
13 |
12 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
17 |
$1K |
| 90734 |
|
88 |
81 |
$0.00 |
| 90710 |
|
46 |
44 |
$0.00 |
| 90715 |
|
26 |
24 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 90661 |
|
41 |
38 |
$0.00 |
| 90648 |
|
44 |
40 |
$0.00 |
| 90651 |
|
122 |
107 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |