| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,264 |
7,015 |
$533K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,598 |
1,575 |
$125K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,386 |
1,360 |
$108K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,061 |
1,040 |
$89K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
676 |
635 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,649 |
3,542 |
$39K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,805 |
1,772 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
914 |
873 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
758 |
724 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
143 |
118 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
66 |
$7K |
| 96127 |
|
1,682 |
1,612 |
$5K |
| D0190 |
|
256 |
254 |
$4K |
| 0072A |
|
42 |
40 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
16 |
$1K |
| 0071A |
|
20 |
20 |
$758.51 |
| 83655 |
|
73 |
68 |
$639.20 |
| 0002A |
|
14 |
14 |
$532.92 |
| 0001A |
|
13 |
13 |
$498.09 |
| 90473 |
|
24 |
24 |
$412.58 |
| 90686 |
|
759 |
747 |
$363.49 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
19 |
$292.85 |
| 90671 |
|
82 |
80 |
$246.20 |
| 81002 |
|
83 |
79 |
$231.34 |
| 0052A |
|
12 |
12 |
$225.18 |
| 90474 |
|
43 |
38 |
$117.96 |
| 85018 |
|
75 |
71 |
$105.84 |
| 36415 |
Collection of venous blood by venipuncture |
60 |
55 |
$99.20 |
| 3074F |
|
12 |
12 |
$0.03 |
| 90734 |
|
40 |
39 |
$0.00 |
| 90670 |
|
180 |
175 |
$0.00 |
| 90715 |
|
37 |
37 |
$0.00 |
| 91300 |
|
75 |
71 |
$0.00 |
| 90672 |
|
17 |
17 |
$0.00 |
| 90633 |
|
67 |
66 |
$0.00 |
| G9002 |
Coordinated care fee, maintenance rate |
30 |
29 |
$0.00 |
| 90685 |
|
16 |
16 |
$0.00 |
| 90698 |
|
106 |
106 |
$0.00 |
| 90656 |
|
146 |
146 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 91307 |
|
94 |
88 |
$0.00 |
| 91305 |
|
59 |
57 |
$0.00 |
| 90619 |
|
92 |
90 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
31 |
29 |
$0.00 |
| 90651 |
|
70 |
70 |
$0.00 |
| 90680 |
|
44 |
39 |
$0.00 |
| 90660 |
|
16 |
16 |
$0.00 |