| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
649 |
617 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
473 |
450 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
209 |
204 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
181 |
172 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
175 |
149 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
108 |
76 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
282 |
263 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
422 |
400 |
$1K |
| 99443 |
|
46 |
31 |
$332.72 |
| 90700 |
|
28 |
28 |
$209.80 |
| 90686 |
|
92 |
91 |
$148.40 |
| 90715 |
|
44 |
44 |
$125.00 |
| 90648 |
|
71 |
55 |
$115.40 |
| 90707 |
|
27 |
27 |
$39.60 |
| 90633 |
|
32 |
32 |
$22.60 |
| 90670 |
|
49 |
49 |
$14.40 |
| 90723 |
|
12 |
12 |
$9.40 |
| 90651 |
|
44 |
44 |
$5.00 |
| 3078F |
|
111 |
108 |
$0.00 |
| 90734 |
|
40 |
40 |
$0.00 |
| 99401 |
|
14 |
14 |
$0.00 |
| 1000F |
|
141 |
139 |
$0.00 |
| 3008F |
|
189 |
187 |
$0.00 |
| 1036F |
|
164 |
158 |
$0.00 |
| 3074F |
|
111 |
109 |
$0.00 |
| 90716 |
|
27 |
27 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$0.00 |