| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,225 |
7,341 |
$297K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,222 |
3,692 |
$176K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
443 |
425 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
643 |
528 |
$7K |
| 99307 |
|
1,171 |
435 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
822 |
780 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
16 |
12 |
$753.60 |
| 90686 |
|
79 |
78 |
$653.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
38 |
$448.07 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
32 |
$357.40 |
| 99335 |
|
13 |
12 |
$331.95 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$303.46 |
| 98925 |
|
18 |
13 |
$167.04 |
| 80305 |
|
17 |
17 |
$150.02 |
| 81002 |
|
53 |
48 |
$118.80 |