| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,669 |
2,265 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
981 |
860 |
$38K |
| 99051 |
|
154 |
151 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
99 |
93 |
$3K |
| 90686 |
|
159 |
137 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$610.50 |
| 92551 |
|
70 |
64 |
$478.26 |
| 1159F |
|
3,449 |
2,838 |
$275.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30 |
28 |
$156.80 |
| 99173 |
|
45 |
44 |
$107.40 |
| 90461 |
|
15 |
13 |
$62.10 |
| 3008F |
|
3,084 |
2,594 |
$0.00 |
| 1031F |
|
3,860 |
3,226 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
26 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$0.00 |
| 3351F |
|
73 |
63 |
$0.00 |
| 3725F |
|
180 |
157 |
$0.00 |