| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,166 |
6,559 |
$120K |
| T1015 |
Clinic visit/encounter, all-inclusive |
575 |
524 |
$86K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,625 |
4,276 |
$78K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,626 |
3,590 |
$44K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,503 |
1,493 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
509 |
509 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
416 |
413 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
152 |
152 |
$5K |
| 90480 |
|
104 |
101 |
$4K |
| 90656 |
|
232 |
232 |
$2K |
| 92551 |
|
167 |
162 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
84 |
84 |
$1K |
| 99173 |
|
658 |
651 |
$956.94 |
| 36415 |
Collection of venous blood by venipuncture |
491 |
489 |
$899.80 |
| 90658 |
|
337 |
337 |
$602.12 |
| 91321 |
|
48 |
48 |
$572.00 |
| 91322 |
|
33 |
31 |
$351.00 |
| 90686 |
|
409 |
398 |
$262.98 |
| 36406 |
|
25 |
25 |
$234.96 |
| 90649 |
|
57 |
57 |
$182.00 |
| 90619 |
|
13 |
13 |
$117.00 |
| 90733 |
|
12 |
12 |
$52.00 |
| 87070 |
|
29 |
29 |
$50.32 |
| 86580 |
|
12 |
12 |
$50.11 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$48.00 |
| 3008F |
|
484 |
413 |
$32.00 |
| 90651 |
|
82 |
78 |
$27.00 |
| 1159F |
|
325 |
292 |
$21.00 |
| 97802 |
|
490 |
465 |
$12.13 |
| 3078F |
|
98 |
92 |
$9.00 |
| 3074F |
|
61 |
56 |
$9.00 |
| 96127 |
|
27 |
26 |
$0.20 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
14 |
$0.00 |
| 90633 |
|
18 |
16 |
$0.00 |
| 3292F |
|
204 |
170 |
$0.00 |
| 1220F |
|
491 |
440 |
$0.00 |
| 4210F |
|
67 |
61 |
$0.00 |