| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,419 |
2,241 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,667 |
1,576 |
$106K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
300 |
300 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
329 |
329 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
278 |
278 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
244 |
224 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
308 |
305 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
41 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
100 |
99 |
$2K |
| 90686 |
|
172 |
172 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
76 |
75 |
$516.60 |
| 36415 |
Collection of venous blood by venipuncture |
187 |
170 |
$418.42 |
| 36416 |
|
105 |
103 |
$261.12 |
| 90715 |
|
13 |
12 |
$233.74 |
| 90651 |
|
14 |
14 |
$229.34 |
| 82962 |
|
92 |
88 |
$223.36 |
| 90474 |
|
25 |
25 |
$204.27 |
| 85018 |
|
17 |
17 |
$34.32 |
| 90670 |
|
45 |
45 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 3078F |
|
34 |
32 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 3074F |
|
63 |
59 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 3079F |
|
30 |
28 |
$0.00 |
| 90698 |
|
25 |
25 |
$0.00 |