| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,799 |
1,558 |
$134K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
843 |
654 |
$78K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
252 |
239 |
$25K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
142 |
134 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,051 |
1,009 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
735 |
429 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
107 |
103 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
92 |
91 |
$10K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
388 |
196 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
31 |
$2K |
| 96127 |
|
108 |
105 |
$573.94 |
| 36415 |
Collection of venous blood by venipuncture |
134 |
124 |
$320.04 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
19 |
13 |
$233.42 |
| 90686 |
|
152 |
135 |
$19.49 |
| 90677 |
|
24 |
24 |
$0.23 |
| 92551 |
|
12 |
12 |
$0.00 |
| 90656 |
|
72 |
71 |
$0.00 |
| 90674 |
|
12 |
12 |
$0.00 |