| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,209 |
1,147 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
672 |
628 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
368 |
359 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
303 |
291 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
818 |
787 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
154 |
152 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
541 |
516 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
279 |
270 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
71 |
69 |
$5K |
| 92551 |
|
451 |
442 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
253 |
249 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
105 |
50 |
$1K |
| 81003 |
|
273 |
261 |
$591.36 |
| 90474 |
|
53 |
52 |
$456.50 |
| 99173 |
|
223 |
219 |
$386.35 |
| 85018 |
|
55 |
55 |
$129.80 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
26 |
$63.21 |
| 36416 |
|
56 |
54 |
$5.06 |
| 90685 |
|
51 |
51 |
$0.00 |
| 90707 |
|
61 |
61 |
$0.00 |
| 90700 |
|
163 |
163 |
$0.00 |
| 90670 |
|
161 |
159 |
$0.00 |
| 90648 |
|
100 |
99 |
$0.00 |
| 90713 |
|
136 |
135 |
$0.00 |
| 90633 |
|
76 |
76 |
$0.00 |
| 90680 |
|
77 |
77 |
$0.00 |
| 90744 |
|
38 |
38 |
$0.00 |
| 90716 |
|
62 |
62 |
$0.00 |
| 90651 |
|
17 |
17 |
$0.00 |