| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,962 |
2,745 |
$137K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
461 |
457 |
$36K |
| 99385 |
|
334 |
333 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
376 |
373 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
242 |
242 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
163 |
163 |
$10K |
| 99384 |
|
98 |
98 |
$6K |
| 99386 |
|
56 |
55 |
$6K |
| 92552 |
|
300 |
298 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
152 |
148 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
683 |
676 |
$4K |
| 99383 |
|
62 |
62 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
56 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,653 |
1,630 |
$3K |
| 90674 |
|
134 |
134 |
$3K |
| 81025 |
|
503 |
495 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
196 |
194 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
191 |
189 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
50 |
50 |
$1K |
| 81002 |
|
469 |
443 |
$1K |
| 99382 |
|
14 |
14 |
$1K |
| 90756 |
|
39 |
39 |
$530.34 |
| 82962 |
|
207 |
199 |
$461.62 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42 |
42 |
$402.01 |
| 85018 |
|
192 |
190 |
$394.67 |
| 90686 |
|
83 |
83 |
$186.25 |
| 3078F |
|
25 |
25 |
$0.00 |
| 90734 |
|
32 |
32 |
$0.00 |
| 3075F |
|
38 |
37 |
$0.00 |
| 90651 |
|
30 |
30 |
$0.00 |
| 3079F |
|
27 |
27 |
$0.00 |
| 3074F |
|
72 |
72 |
$0.00 |