| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,317 |
1,193 |
$75K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
603 |
564 |
$54K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
642 |
607 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
368 |
345 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
662 |
620 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,855 |
1,673 |
$24K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,413 |
667 |
$17K |
| 85027 |
|
338 |
289 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
58 |
58 |
$3K |
| 83655 |
|
322 |
277 |
$2K |
| 96127 |
|
350 |
320 |
$2K |
| 92551 |
|
60 |
56 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
47 |
47 |
$1K |
| 82728 |
|
25 |
25 |
$525.58 |
| 80061 |
Lipid panel |
15 |
15 |
$424.22 |
| 36415 |
Collection of venous blood by venipuncture |
33 |
24 |
$362.31 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
14 |
$159.72 |
| 83718 |
|
12 |
12 |
$152.40 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$147.96 |
| 82947 |
|
25 |
25 |
$147.27 |
| 82465 |
|
13 |
13 |
$87.02 |
| 90686 |
|
151 |
149 |
$17.96 |