| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,873 |
5,422 |
$338K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,023 |
2,704 |
$268K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,003 |
1,934 |
$184K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
365 |
355 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,807 |
1,736 |
$17K |
| 87428 |
|
246 |
231 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
617 |
583 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
805 |
770 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,105 |
1,039 |
$5K |
| 90670 |
|
197 |
195 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39 |
39 |
$4K |
| 90686 |
|
217 |
217 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
114 |
109 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
146 |
131 |
$3K |
| 85018 |
|
1,015 |
968 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$2K |
| 90647 |
|
64 |
64 |
$1K |
| 96127 |
|
26 |
26 |
$1K |
| 90723 |
|
51 |
50 |
$885.02 |
| 99173 |
|
218 |
214 |
$446.64 |
| 92551 |
|
31 |
31 |
$441.40 |
| 90671 |
|
12 |
12 |
$150.49 |
| 81002 |
|
61 |
57 |
$128.24 |
| 36416 |
|
1,051 |
952 |
$32.22 |
| 91307 |
|
12 |
12 |
$0.00 |
| 99174 |
|
79 |
79 |
$0.00 |