| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,684 |
6,296 |
$170K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,085 |
3,223 |
$126K |
| 99215 |
Prolong outpt/office vis |
144 |
109 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
71 |
64 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
79 |
66 |
$3K |
| 3008F |
|
592 |
507 |
$3K |
| 96127 |
|
556 |
447 |
$2K |
| 90686 |
|
404 |
365 |
$1K |
| 99442 |
|
96 |
67 |
$1K |
| 0011A |
|
41 |
29 |
$593.44 |
| 99173 |
|
29 |
27 |
$264.01 |
| 92551 |
|
16 |
16 |
$224.09 |
| 99000 |
|
113 |
87 |
$211.68 |
| 36415 |
Collection of venous blood by venipuncture |
456 |
408 |
$174.95 |
| 99441 |
|
24 |
16 |
$87.12 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
78 |
66 |
$40.71 |
| 90685 |
|
13 |
12 |
$33.10 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$19.60 |
| 90656 |
|
17 |
16 |
$15.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
179 |
163 |
$14.01 |