| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,689 |
4,249 |
$286K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,613 |
2,377 |
$233K |
| 99407 |
|
1,791 |
1,621 |
$43K |
| 94010 |
|
830 |
811 |
$24K |
| 80305 |
|
1,637 |
1,545 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
192 |
188 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
91 |
91 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
230 |
222 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
398 |
391 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
59 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
62 |
62 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 82947 |
|
346 |
300 |
$1K |
| 81025 |
|
176 |
171 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 99050 |
|
36 |
35 |
$621.72 |
| 99173 |
|
185 |
185 |
$470.54 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$224.64 |
| 36415 |
Collection of venous blood by venipuncture |
80 |
80 |
$202.88 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
13 |
$199.64 |
| 96160 |
|
685 |
660 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |