| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,458 |
1,238 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
921 |
772 |
$61K |
| 90716 |
|
635 |
475 |
$56K |
| 90651 |
|
435 |
339 |
$46K |
| 90739 |
|
268 |
243 |
$40K |
| 90713 |
|
1,065 |
799 |
$32K |
| 90746 |
|
316 |
230 |
$22K |
| 90686 |
|
744 |
571 |
$14K |
| 90715 |
|
514 |
364 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
212 |
191 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
280 |
225 |
$12K |
| 90633 |
|
432 |
340 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
275 |
224 |
$7K |
| 91321 |
|
412 |
321 |
$6K |
| 90744 |
|
301 |
245 |
$5K |
| 90656 |
|
234 |
208 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
43 |
43 |
$3K |
| 91322 |
|
145 |
111 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
42 |
$2K |
| 90707 |
|
32 |
25 |
$2K |
| 90620 |
|
16 |
13 |
$2K |
| 90674 |
|
33 |
21 |
$552.27 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
12 |
$528.74 |
| 81025 |
|
77 |
55 |
$439.70 |
| 90734 |
|
16 |
12 |
$267.36 |
| 36415 |
Collection of venous blood by venipuncture |
118 |
117 |
$1.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
735 |
664 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
274 |
246 |
$0.00 |
| 90461 |
|
49 |
32 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
190 |
142 |
$0.00 |