| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,794 |
2,531 |
$7K |
| 90694 |
|
73 |
73 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
366 |
365 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
39 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$995.12 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
135 |
123 |
$240.00 |
| 99384 |
|
45 |
45 |
$236.28 |
| 3008F |
|
3,647 |
3,361 |
$0.00 |
| 3079F |
|
502 |
472 |
$0.00 |
| 3074F |
|
2,593 |
2,419 |
$0.00 |
| 99385 |
|
15 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
984 |
928 |
$0.00 |
| 1126F |
|
731 |
676 |
$0.00 |
| 1036F |
|
125 |
123 |
$0.00 |
| 3075F |
|
226 |
216 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| 2001F |
|
35 |
30 |
$0.00 |
| 3044F |
|
13 |
13 |
$0.00 |
| 1220F |
|
72 |
72 |
$0.00 |
| 93000 |
|
12 |
12 |
$0.00 |
| 1101F |
|
12 |
12 |
$0.00 |
| 3078F |
|
2,239 |
2,097 |
$0.00 |
| 1160F |
|
4,470 |
4,033 |
$0.00 |
| 1159F |
|
4,561 |
4,100 |
$0.00 |
| 3725F |
|
381 |
373 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
127 |
57 |
$0.00 |
| 81002 |
|
385 |
366 |
$0.00 |
| 3288F |
|
13 |
13 |
$0.00 |
| 90734 |
|
17 |
17 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
54 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
86 |
81 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
62 |
55 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
29 |
$0.00 |