| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,168 |
7,713 |
$391K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,134 |
925 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
899 |
741 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
939 |
704 |
$30K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,517 |
1,201 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,477 |
2,030 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
534 |
478 |
$14K |
| 90671 |
|
422 |
303 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
224 |
222 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
4,394 |
3,273 |
$7K |
| 90461 |
|
243 |
231 |
$4K |
| 83655 |
|
959 |
759 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
36 |
$3K |
| 90651 |
|
393 |
303 |
$3K |
| 36406 |
|
338 |
285 |
$2K |
| 86580 |
|
451 |
448 |
$2K |
| 90620 |
|
393 |
230 |
$1K |
| 36410 |
|
404 |
303 |
$828.10 |
| 90734 |
|
305 |
214 |
$719.51 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
14 |
$700.00 |
| 90656 |
|
749 |
674 |
$597.79 |
| 90710 |
|
43 |
43 |
$500.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
39 |
33 |
$353.72 |
| 92551 |
|
24 |
24 |
$348.48 |
| 90670 |
|
250 |
247 |
$225.00 |
| 90633 |
|
379 |
371 |
$154.16 |
| 90715 |
|
48 |
46 |
$148.80 |
| 99177 |
|
86 |
86 |
$79.20 |
| 99000 |
|
3,060 |
2,063 |
$75.78 |
| 90648 |
|
232 |
227 |
$73.14 |
| 90696 |
|
24 |
24 |
$58.36 |
| 97803 |
|
3,590 |
2,928 |
$52.65 |
| 90700 |
|
26 |
25 |
$35.48 |
| 90655 |
|
18 |
14 |
$15.43 |
| 90723 |
|
80 |
80 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
54 |
45 |
$0.00 |
| 3008F |
|
2,936 |
2,242 |
$0.00 |
| 90698 |
|
45 |
43 |
$0.00 |
| 90647 |
|
52 |
45 |
$0.00 |
| 90680 |
|
125 |
107 |
$0.00 |
| 90716 |
|
14 |
12 |
$0.00 |
| 99173 |
|
460 |
222 |
$0.00 |
| 90707 |
|
14 |
12 |
$0.00 |