| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,215 |
2,899 |
$230K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,023 |
2,847 |
$147K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,918 |
2,902 |
$139K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,385 |
2,364 |
$126K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,948 |
1,944 |
$91K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,324 |
7,277 |
$90K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,784 |
1,765 |
$79K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,202 |
3,191 |
$59K |
| 90674 |
|
666 |
664 |
$17K |
| 3008F |
|
5,929 |
5,923 |
$16K |
| 36410 |
|
764 |
757 |
$7K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
52 |
38 |
$6K |
| 90686 |
|
151 |
151 |
$2K |
| 90734 |
|
61 |
61 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
609 |
602 |
$1K |
| 99401 |
|
1,203 |
1,201 |
$920.71 |
| 36406 |
|
54 |
54 |
$632.19 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
52 |
38 |
$444.59 |
| 90700 |
|
12 |
12 |
$279.72 |
| 99050 |
|
12 |
12 |
$98.16 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,207 |
1,202 |
$63.18 |