| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,098 |
6,343 |
$431K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,512 |
2,494 |
$99K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,108 |
1,108 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
900 |
900 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
693 |
674 |
$61K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
725 |
725 |
$58K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
751 |
704 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
900 |
855 |
$33K |
| 90461 |
|
499 |
499 |
$25K |
| 97802 |
|
2,122 |
2,122 |
$12K |
| 98960 |
|
2,227 |
2,227 |
$11K |
| 90677 |
|
53 |
53 |
$8K |
| 99173 |
|
1,689 |
1,687 |
$5K |
| 0071A |
|
68 |
67 |
$3K |
| 0072A |
|
66 |
65 |
$3K |
| 81002 |
|
1,474 |
1,466 |
$2K |
| 91307 |
|
100 |
92 |
$296.04 |
| 90686 |
|
286 |
285 |
$241.77 |
| 36415 |
Collection of venous blood by venipuncture |
134 |
132 |
$118.82 |
| 90734 |
|
32 |
32 |
$0.00 |
| 90670 |
|
84 |
84 |
$0.00 |
| 90710 |
|
16 |
16 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 99000 |
|
49 |
47 |
$0.00 |
| 87081 |
|
43 |
42 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |