| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,056 |
1,803 |
$131K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
333 |
329 |
$31K |
| 93000 |
|
402 |
385 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
123 |
119 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
16 |
$1K |
| 97802 |
|
109 |
104 |
$525.84 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
31 |
14 |
$424.49 |
| 81002 |
|
180 |
172 |
$392.49 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$245.95 |
| 81025 |
|
13 |
13 |
$71.41 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$53.26 |
| 3074F |
|
661 |
597 |
$0.00 |
| 3079F |
|
195 |
184 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
182 |
170 |
$0.00 |
| 99000 |
|
15 |
15 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |
| 3075F |
|
29 |
27 |
$0.00 |
| 3078F |
|
593 |
537 |
$0.00 |
| 3077F |
|
85 |
78 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
180 |
168 |
$0.00 |