| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,085 |
4,837 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,236 |
1,217 |
$7K |
| 99443 |
|
776 |
741 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
948 |
946 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,596 |
2,469 |
$5K |
| 92551 |
|
2,140 |
2,135 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
546 |
545 |
$3K |
| 85018 |
|
1,402 |
1,384 |
$2K |
| 81002 |
|
922 |
915 |
$2K |
| 90686 |
|
429 |
427 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
241 |
235 |
$2K |
| 90656 |
|
258 |
253 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
192 |
187 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
234 |
233 |
$966.60 |
| 1100F |
|
1,000 |
996 |
$883.71 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
62 |
$438.01 |
| 99173 |
|
2,018 |
2,013 |
$369.04 |
| 1170F |
|
1,456 |
1,450 |
$318.17 |
| 81000 |
|
661 |
658 |
$237.10 |
| 1158F |
|
989 |
985 |
$82.17 |
| 1159F |
|
1,366 |
1,360 |
$80.00 |
| 36415 |
Collection of venous blood by venipuncture |
698 |
682 |
$57.50 |
| 1126F |
|
1,139 |
1,134 |
$45.33 |
| 3074F |
|
642 |
641 |
$40.00 |
| 3078F |
|
535 |
535 |
$35.83 |
| 1125F |
|
63 |
63 |
$9.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
537 |
535 |
$0.51 |
| 1160F |
|
1,374 |
1,368 |
$0.00 |
| 3077F |
|
136 |
136 |
$0.00 |
| 3288F |
|
1,000 |
996 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
79 |
79 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 3079F |
|
206 |
204 |
$0.00 |
| 3080F |
|
83 |
83 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 3075F |
|
111 |
110 |
$0.00 |