| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,179 |
13,026 |
$503K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,357 |
2,244 |
$130K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,363 |
8,154 |
$100K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,875 |
1,848 |
$91K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,514 |
1,481 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,459 |
1,430 |
$69K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
621 |
599 |
$41K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,560 |
2,505 |
$40K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
437 |
428 |
$35K |
| 92551 |
|
5,516 |
5,448 |
$33K |
| 90688 |
|
2,718 |
2,675 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
956 |
947 |
$14K |
| 97802 |
|
1,518 |
1,477 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
235 |
226 |
$11K |
| 99496 |
|
127 |
126 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
6,781 |
6,534 |
$10K |
| 99173 |
|
5,330 |
5,272 |
$10K |
| 90619 |
|
62 |
60 |
$6K |
| 90677 |
|
29 |
28 |
$6K |
| 90651 |
|
109 |
105 |
$6K |
| 99441 |
|
197 |
188 |
$6K |
| 90656 |
|
306 |
302 |
$3K |
| 90671 |
|
48 |
43 |
$3K |
| 96127 |
|
828 |
792 |
$2K |
| 90750 |
|
12 |
12 |
$2K |
| 90734 |
|
56 |
56 |
$2K |
| 90620 |
|
15 |
15 |
$2K |
| 3008F |
|
2,774 |
2,716 |
$1K |
| 99386 |
|
15 |
15 |
$1K |
| 99495 |
|
19 |
19 |
$1K |
| 99385 |
|
12 |
12 |
$977.40 |
| 90715 |
|
59 |
55 |
$939.81 |
| 92250 |
|
123 |
123 |
$755.51 |
| 93000 |
|
99 |
96 |
$746.64 |
| 99442 |
|
16 |
16 |
$706.81 |
| 90670 |
|
54 |
54 |
$304.64 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
36 |
$273.78 |
| 36416 |
|
69 |
69 |
$218.12 |
| 90685 |
|
183 |
176 |
$199.02 |
| 92227 |
|
13 |
13 |
$87.68 |
| 90633 |
|
17 |
15 |
$76.02 |
| 90662 |
|
17 |
17 |
$52.26 |
| 99000 |
|
2,541 |
2,395 |
$45.20 |
| 90658 |
|
16 |
16 |
$0.08 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
393 |
375 |
$0.00 |