| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,628 |
16,209 |
$1.49M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,016 |
1,830 |
$179K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,300 |
2,142 |
$165K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,712 |
1,687 |
$155K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,055 |
1,009 |
$86K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
744 |
734 |
$68K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
474 |
466 |
$42K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
228 |
208 |
$10K |
| 99304 |
|
269 |
261 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
111 |
103 |
$446.76 |
| 36415 |
Collection of venous blood by venipuncture |
1,105 |
1,032 |
$81.97 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
47 |
46 |
$40.52 |
| 90686 |
|
24 |
19 |
$19.03 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90677 |
|
17 |
17 |
$0.00 |