| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,955 |
7,017 |
$240K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,006 |
2,692 |
$134K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
184 |
170 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
150 |
145 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
85 |
83 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
113 |
100 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,849 |
1,662 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
131 |
112 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
13 |
$760.76 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$576.44 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
71 |
63 |
$515.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
34 |
$376.74 |
| 99000 |
|
90 |
81 |
$189.72 |
| 90658 |
|
31 |
27 |
$0.00 |