| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,289 |
1,134 |
$571.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
97 |
96 |
$285.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$96.00 |
| 90686 |
|
20 |
20 |
$69.00 |
| 99000 |
|
113 |
111 |
$60.00 |
| 92560 |
|
61 |
61 |
$44.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
99 |
99 |
$42.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
61 |
61 |
$24.00 |
| 1159F |
|
1,084 |
997 |
$20.00 |
| 3008F |
|
1,171 |
1,046 |
$11.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$10.00 |
| 81002 |
|
142 |
138 |
$2.00 |
| 36415 |
Collection of venous blood by venipuncture |
116 |
115 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
59 |
59 |
$0.00 |
| 3075F |
|
18 |
16 |
$0.00 |
| 1160F |
|
1,083 |
996 |
$0.00 |
| 80061 |
Lipid panel |
33 |
33 |
$0.00 |
| 3078F |
|
13 |
12 |
$0.00 |