| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,031 |
2,613 |
$197K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
632 |
604 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
105 |
105 |
$11K |
| S9443 |
Lactation classes, non-physician provider, per session |
201 |
126 |
$8K |
| 99404 |
|
67 |
38 |
$8K |
| 90670 |
|
312 |
310 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
37 |
$4K |
| 80305 |
|
343 |
283 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$3K |
| 99402 |
|
25 |
24 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$2K |
| 90698 |
|
64 |
64 |
$1K |
| 90686 |
|
78 |
75 |
$1K |
| 99401 |
|
28 |
24 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
162 |
146 |
$948.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
29 |
$606.62 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
25 |
$417.90 |
| 90633 |
|
13 |
13 |
$285.48 |
| 90648 |
|
13 |
13 |
$285.48 |
| 90723 |
|
13 |
13 |
$285.48 |
| 90681 |
|
12 |
12 |
$263.52 |
| 90688 |
|
12 |
12 |
$225.35 |