| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,961 |
4,155 |
$289K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,592 |
2,158 |
$198K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
378 |
354 |
$15K |
| 99215 |
Prolong outpt/office vis |
78 |
63 |
$9K |
| 90686 |
|
387 |
372 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,037 |
996 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
62 |
57 |
$5K |
| 0011A |
|
256 |
223 |
$5K |
| 0012A |
|
186 |
163 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
45 |
44 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
27 |
$2K |
| 90688 |
|
118 |
118 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
20 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
27 |
$2K |
| 0001A |
|
36 |
36 |
$1K |
| 0064A |
|
94 |
84 |
$1K |
| 0031A |
|
31 |
28 |
$913.56 |
| 96127 |
|
335 |
292 |
$905.26 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
118 |
118 |
$838.12 |
| 36415 |
Collection of venous blood by venipuncture |
197 |
176 |
$731.23 |
| 0002A |
|
19 |
19 |
$720.00 |
| 90651 |
|
28 |
28 |
$614.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
53 |
50 |
$555.36 |
| 91322 |
|
22 |
20 |
$531.86 |
| 99177 |
|
110 |
110 |
$367.17 |
| 90480 |
|
16 |
14 |
$340.42 |
| 90715 |
|
13 |
13 |
$273.83 |
| 0124A |
|
17 |
13 |
$202.62 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
208 |
162 |
$191.25 |
| 90656 |
|
15 |
14 |
$178.80 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
13 |
12 |
$136.18 |
| 90662 |
|
26 |
19 |
$130.52 |
| 87807 |
|
13 |
13 |
$110.04 |
| 96160 |
|
25 |
25 |
$88.56 |
| G0008 |
Administration of influenza virus vaccine |
105 |
78 |
$60.09 |