| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,851 |
2,597 |
$341K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
291 |
282 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
666 |
651 |
$51K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
573 |
568 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
318 |
300 |
$23K |
| 81002 |
|
1,348 |
1,305 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
67 |
67 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
51 |
49 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
1,600 |
1,506 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
39 |
39 |
$8K |
| 90461 |
|
92 |
91 |
$5K |
| 90756 |
|
194 |
194 |
$5K |
| 90734 |
|
38 |
38 |
$4K |
| 90674 |
|
148 |
147 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
93 |
90 |
$3K |
| 99173 |
|
150 |
150 |
$3K |
| 85018 |
|
391 |
387 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$2K |
| 96150 |
|
61 |
61 |
$2K |
| 92551 |
|
113 |
113 |
$2K |
| 90715 |
|
26 |
26 |
$750.00 |
| 90658 |
|
26 |
26 |
$650.00 |
| 90688 |
|
83 |
83 |
$425.00 |
| 90686 |
|
71 |
71 |
$300.00 |
| 1159F |
|
1,461 |
1,324 |
$0.00 |
| 1160F |
|
1,461 |
1,324 |
$0.00 |
| 1126F |
|
763 |
718 |
$0.00 |
| 1125F |
|
685 |
638 |
$0.00 |
| 99000 |
|
82 |
80 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |