| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
556 |
509 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
254 |
241 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
258 |
246 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
252 |
246 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
228 |
219 |
$17K |
| 92552 |
|
633 |
596 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
134 |
122 |
$10K |
| 90670 |
|
204 |
199 |
$5K |
| 90649 |
|
104 |
96 |
$4K |
| 85018 |
|
785 |
743 |
$2K |
| 81002 |
|
595 |
563 |
$2K |
| 99173 |
|
638 |
602 |
$1K |
| 90648 |
|
121 |
118 |
$1K |
| 90656 |
|
95 |
95 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
717 |
660 |
$1K |
| 90734 |
|
46 |
45 |
$825.39 |
| 90723 |
|
41 |
41 |
$708.84 |
| 90633 |
|
42 |
41 |
$541.29 |
| 90461 |
|
328 |
315 |
$523.40 |
| 90686 |
|
70 |
56 |
$449.75 |
| 90707 |
|
16 |
16 |
$284.00 |
| 90715 |
|
18 |
17 |
$207.66 |
| 90700 |
|
15 |
15 |
$187.80 |
| 36415 |
Collection of venous blood by venipuncture |
259 |
232 |
$177.30 |
| 90716 |
|
14 |
14 |
$154.00 |
| 36416 |
|
750 |
692 |
$130.33 |