| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,273 |
2,216 |
$167K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,307 |
1,307 |
$153K |
| 99401 |
|
1,177 |
1,161 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
764 |
740 |
$34K |
| 90750 |
|
102 |
102 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
654 |
641 |
$11K |
| 90686 |
|
355 |
355 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
55 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
3,672 |
3,621 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$3K |
| 93000 |
|
148 |
147 |
$2K |
| 99441 |
|
55 |
53 |
$2K |
| 90682 |
|
38 |
38 |
$2K |
| 81002 |
|
885 |
884 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
50 |
49 |
$345.76 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$191.90 |
| 99406 |
|
12 |
12 |
$42.12 |
| 99000 |
|
2,755 |
2,698 |
$3.35 |
| 94760 |
|
13 |
13 |
$3.03 |