| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,789 |
3,521 |
$42K |
| 92552 |
|
2,282 |
2,135 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
874 |
725 |
$26K |
| 92567 |
|
886 |
849 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
859 |
814 |
$10K |
| 99381 |
|
150 |
143 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,069 |
891 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
815 |
759 |
$4K |
| 90670 |
|
292 |
292 |
$2K |
| 90698 |
|
281 |
281 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
295 |
260 |
$2K |
| 88720 |
|
357 |
258 |
$1K |
| 90680 |
|
125 |
125 |
$1K |
| 90744 |
|
123 |
123 |
$1K |
| 94760 |
|
1,044 |
995 |
$462.34 |
| 99383 |
|
16 |
12 |
$430.83 |
| 90685 |
|
306 |
271 |
$335.22 |
| 96127 |
|
913 |
855 |
$333.24 |
| 99173 |
|
1,821 |
1,679 |
$199.87 |
| 90686 |
|
126 |
121 |
$198.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
26 |
$62.57 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,508 |
1,384 |
$0.92 |
| 97802 |
|
1,435 |
1,315 |
$0.92 |
| 1220F |
|
712 |
659 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
279 |
274 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
280 |
277 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |
| 99401 |
|
285 |
279 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,898 |
1,345 |
$0.00 |
| 90461 |
|
1,299 |
808 |
$0.00 |