| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,139 |
1,009 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62 |
59 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
34 |
32 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 90686 |
|
66 |
66 |
$1K |
| 99490 |
Ccm add 20min |
54 |
49 |
$1K |
| 81003 |
|
221 |
178 |
$984.93 |
| 36415 |
Collection of venous blood by venipuncture |
758 |
641 |
$888.59 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
490 |
477 |
$745.03 |
| 90688 |
|
52 |
50 |
$660.79 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$654.19 |
| 85018 |
|
86 |
84 |
$558.51 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$324.01 |
| 36416 |
|
298 |
277 |
$240.35 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$191.58 |
| 90685 |
|
17 |
16 |
$156.55 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
262 |
210 |
$132.26 |
| 82947 |
|
155 |
134 |
$68.54 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
132 |
127 |
$43.56 |
| 90698 |
|
30 |
28 |
$29.04 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
69 |
68 |
$0.00 |
| 90680 |
|
14 |
12 |
$0.00 |
| 90474 |
|
14 |
12 |
$0.00 |
| 90670 |
|
42 |
39 |
$0.00 |