| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,573 |
5,829 |
$1.50M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,905 |
5,284 |
$1.05M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
602 |
575 |
$152K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
673 |
638 |
$138K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
564 |
488 |
$138K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
191 |
189 |
$55K |
| 99215 |
Prolong outpt/office vis |
107 |
94 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
60 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
51 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
42 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
18 |
$6K |
| 95911 |
|
469 |
409 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
302 |
277 |
$2K |
| 95886 |
|
658 |
568 |
$676.49 |
| 90670 |
|
162 |
139 |
$241.38 |
| 3074F |
|
3,021 |
2,560 |
$161.29 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
277 |
235 |
$41.74 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
177 |
164 |
$28.30 |
| 90648 |
|
194 |
169 |
$24.34 |
| 36415 |
Collection of venous blood by venipuncture |
535 |
509 |
$3.00 |
| 3008F |
|
1,882 |
1,609 |
$0.00 |
| 90651 |
|
15 |
14 |
$0.00 |
| 90688 |
|
46 |
31 |
$0.00 |
| 1036F |
|
4,128 |
3,514 |
$0.00 |
| 90686 |
|
48 |
48 |
$0.00 |
| 3075F |
|
168 |
148 |
$0.00 |
| 1125F |
|
1,670 |
1,459 |
$0.00 |
| 3079F |
|
716 |
636 |
$0.00 |
| 1126F |
|
954 |
863 |
$0.00 |
| 90723 |
|
80 |
67 |
$0.00 |
| 95912 |
|
54 |
51 |
$0.00 |
| 3078F |
|
2,879 |
2,435 |
$0.00 |
| 3725F |
|
1,664 |
1,505 |
$0.00 |
| 3077F |
|
158 |
140 |
$0.00 |
| 1160F |
|
3,127 |
2,562 |
$0.00 |
| 90461 |
|
120 |
118 |
$0.00 |
| 3288F |
|
14 |
14 |
$0.00 |
| 90633 |
|
14 |
12 |
$0.00 |
| 1159F |
|
3,024 |
2,471 |
$0.00 |