| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,632 |
4,330 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
844 |
575 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
576 |
386 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
333 |
282 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
882 |
504 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
347 |
197 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,739 |
1,743 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,350 |
840 |
$6K |
| 90619 |
|
157 |
84 |
$5K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
195 |
102 |
$4K |
| 99385 |
|
257 |
105 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,752 |
1,337 |
$3K |
| 90661 |
|
110 |
110 |
$2K |
| 3074F |
|
6,310 |
3,745 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
168 |
145 |
$1K |
| 99386 |
|
57 |
30 |
$1K |
| 99443 |
|
18 |
17 |
$838.70 |
| 96127 |
|
98 |
95 |
$654.20 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
16 |
$624.44 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
39 |
13 |
$594.28 |
| 80053 |
Comprehensive metabolic panel |
90 |
62 |
$482.73 |
| 99442 |
|
17 |
17 |
$394.99 |
| 90674 |
|
130 |
120 |
$376.22 |
| 90686 |
|
983 |
551 |
$322.49 |
| 90461 |
|
49 |
41 |
$321.66 |
| 3008F |
|
10,173 |
5,645 |
$151.32 |
| 90715 |
|
42 |
26 |
$82.78 |
| 1159F |
|
4,710 |
2,398 |
$79.74 |
| 1000F |
|
5,559 |
3,332 |
$69.30 |
| 3044F |
|
648 |
436 |
$50.44 |
| 82962 |
|
26 |
24 |
$36.40 |
| 90633 |
|
309 |
180 |
$35.22 |
| 3352F |
|
331 |
292 |
$25.23 |
| 3075F |
|
162 |
73 |
$25.00 |
| 1126F |
|
6,117 |
3,425 |
$12.61 |
| 3351F |
|
366 |
322 |
$0.01 |
| 3078F |
|
5,723 |
3,366 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 1160F |
|
4,711 |
2,400 |
$0.00 |
| 90670 |
|
70 |
24 |
$0.00 |
| 2028F |
|
243 |
197 |
$0.00 |
| 4004F |
|
214 |
188 |
$0.00 |
| 3288F |
|
17 |
16 |
$0.00 |
| 3050F |
|
90 |
26 |
$0.00 |
| 2001F |
|
10,403 |
5,613 |
$0.00 |
| 1220F |
|
2,834 |
1,720 |
$0.00 |
| 2000F |
|
7,067 |
3,991 |
$0.00 |
| 3079F |
|
672 |
309 |
$0.00 |
| 1125F |
|
746 |
348 |
$0.00 |
| 3049F |
|
41 |
14 |
$0.00 |
| 90651 |
|
178 |
101 |
$0.00 |
| 92558 |
|
12 |
12 |
$0.00 |
| 1101F |
|
18 |
16 |
$0.00 |
| 4010F |
|
115 |
46 |
$0.00 |
| 4000F |
|
94 |
38 |
$0.00 |
| 1170F |
|
39 |
33 |
$0.00 |
| 1157F |
|
268 |
109 |
$0.00 |
| 3048F |
|
27 |
12 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |