| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,970 |
2,588 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,331 |
1,260 |
$63K |
| 99000 |
|
2,166 |
1,839 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
202 |
195 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
703 |
652 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
89 |
86 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
631 |
601 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
325 |
303 |
$6K |
| 99050 |
|
169 |
164 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
155 |
82 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$993.59 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$890.08 |
| 36410 |
|
27 |
27 |
$288.01 |
| 36415 |
Collection of venous blood by venipuncture |
50 |
50 |
$0.00 |
| 90686 |
|
35 |
30 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90649 |
|
13 |
12 |
$0.00 |