| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,728 |
2,067 |
$125K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136 |
128 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
91 |
78 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
88 |
70 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
66 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
37 |
$1K |
| 90734 |
|
20 |
12 |
$1K |
| 90715 |
|
24 |
14 |
$662.10 |
| 90688 |
|
45 |
33 |
$570.38 |
| 96160 |
|
48 |
43 |
$432.00 |
| 90633 |
|
25 |
16 |
$334.23 |
| 36415 |
Collection of venous blood by venipuncture |
236 |
196 |
$163.04 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
186 |
127 |
$0.00 |
| 1036F |
|
60 |
53 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
16 |
$0.00 |