| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,195 |
3,978 |
$67K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,265 |
1,458 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,859 |
1,349 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,412 |
978 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,198 |
1,615 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
586 |
417 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,193 |
3,682 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,068 |
2,090 |
$894.00 |
| 90670 |
|
686 |
511 |
$567.20 |
| 85018 |
|
5,311 |
3,768 |
$470.28 |
| 81002 |
|
4,359 |
3,057 |
$279.37 |
| G0008 |
Administration of influenza virus vaccine |
525 |
503 |
$81.13 |
| 90688 |
|
2,155 |
1,450 |
$60.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,152 |
756 |
$52.54 |
| 90633 |
|
271 |
200 |
$50.00 |
| 90734 |
|
219 |
149 |
$42.54 |
| 83655 |
|
973 |
593 |
$31.57 |
| 90619 |
|
114 |
50 |
$20.00 |
| 90651 |
|
553 |
325 |
$0.00 |
| 90620 |
|
41 |
39 |
$0.00 |
| 90716 |
|
36 |
13 |
$0.00 |
| 90698 |
|
15 |
15 |
$0.00 |
| 90658 |
|
78 |
78 |
$0.00 |
| 90687 |
|
210 |
154 |
$0.00 |
| 90715 |
|
50 |
40 |
$0.00 |
| 90707 |
|
33 |
12 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 90648 |
|
54 |
48 |
$0.00 |
| 90649 |
|
42 |
40 |
$0.00 |