| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,689 |
1,810 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,253 |
1,115 |
$85K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
987 |
862 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
819 |
705 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
446 |
389 |
$15K |
| 90670 |
|
1,091 |
937 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
106 |
99 |
$8K |
| 99381 |
|
88 |
84 |
$7K |
| 90698 |
|
818 |
709 |
$5K |
| 99382 |
|
63 |
57 |
$4K |
| 90680 |
|
788 |
684 |
$4K |
| 99383 |
|
42 |
42 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
34 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
33 |
$3K |
| 90686 |
|
538 |
460 |
$2K |
| 90744 |
|
563 |
490 |
$507.80 |
| 36416 |
|
33 |
25 |
$75.44 |
| 96127 |
|
12 |
12 |
$67.92 |
| 90633 |
|
426 |
354 |
$62.02 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$30.12 |
| 90700 |
|
28 |
27 |
$0.24 |
| 90461 |
|
910 |
709 |
$0.00 |
| 99173 |
|
341 |
331 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 92551 |
|
420 |
398 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |