| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,292 |
1,989 |
$184K |
| 90651 |
|
1,096 |
842 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,378 |
1,258 |
$96K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,376 |
4,007 |
$92K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,790 |
5,722 |
$75K |
| 90716 |
|
1,180 |
921 |
$65K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
355 |
296 |
$36K |
| 90632 |
|
649 |
503 |
$29K |
| 96127 |
|
4,328 |
3,740 |
$27K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,180 |
986 |
$21K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
375 |
342 |
$21K |
| 87808 |
|
1,419 |
1,268 |
$18K |
| 90715 |
|
1,070 |
856 |
$17K |
| 90713 |
|
882 |
679 |
$16K |
| 90739 |
|
162 |
113 |
$16K |
| 87905 |
|
1,401 |
1,249 |
$15K |
| 90620 |
|
344 |
275 |
$13K |
| 90686 |
|
2,348 |
1,680 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
2,671 |
1,901 |
$10K |
| 91320 |
|
210 |
113 |
$9K |
| 90636 |
|
70 |
66 |
$8K |
| 90480 |
|
681 |
342 |
$5K |
| 0002A |
|
206 |
131 |
$4K |
| 90734 |
|
405 |
327 |
$2K |
| 91322 |
|
33 |
18 |
$2K |
| 90656 |
|
111 |
96 |
$2K |
| 0001A |
|
89 |
62 |
$2K |
| 90670 |
|
347 |
261 |
$1K |
| 99173 |
|
671 |
585 |
$1K |
| 0124A |
|
53 |
18 |
$590.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$588.00 |
| 90707 |
|
32 |
24 |
$510.00 |
| 90633 |
|
1,246 |
936 |
$402.00 |
| 90619 |
|
119 |
89 |
$326.00 |
| 81025 |
|
35 |
33 |
$270.83 |
| 81003 |
|
27 |
24 |
$53.30 |
| 86580 |
|
30 |
13 |
$16.48 |
| 90744 |
|
18 |
12 |
$0.00 |
| 91305 |
|
14 |
12 |
$0.00 |
| 90710 |
|
86 |
64 |
$0.00 |
| 90746 |
|
31 |
30 |
$0.00 |
| 90661 |
|
45 |
42 |
$0.00 |
| 91321 |
|
18 |
15 |
$0.00 |
| 91312 |
|
50 |
17 |
$0.00 |