| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,434 |
24,539 |
$2.56M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,876 |
4,875 |
$579K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,039 |
5,035 |
$543K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,794 |
16,467 |
$489K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,732 |
2,725 |
$287K |
| 92587 |
|
9,612 |
9,550 |
$192K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,574 |
1,550 |
$155K |
| 92552 |
|
3,566 |
3,563 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
900 |
882 |
$120K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,618 |
1,576 |
$87K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
699 |
697 |
$85K |
| 90461 |
|
1,286 |
1,275 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
301 |
301 |
$35K |
| 99441 |
|
637 |
581 |
$28K |
| 99173 |
|
10,433 |
10,421 |
$20K |
| 99442 |
|
213 |
194 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,242 |
1,225 |
$14K |
| 90620 |
|
1,228 |
1,228 |
$11K |
| 0072A |
|
183 |
183 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
5,045 |
5,020 |
$8K |
| 0071A |
|
161 |
161 |
$7K |
| 0001A |
|
143 |
142 |
$6K |
| 0002A |
|
126 |
126 |
$5K |
| 90686 |
|
5,975 |
5,961 |
$4K |
| 86580 |
|
467 |
455 |
$4K |
| 90619 |
|
604 |
602 |
$3K |
| 36406 |
|
378 |
374 |
$3K |
| 90677 |
|
15 |
14 |
$3K |
| 90715 |
|
371 |
370 |
$3K |
| 99383 |
|
25 |
25 |
$3K |
| 99384 |
|
18 |
18 |
$2K |
| 0054A |
|
58 |
58 |
$2K |
| 0112A |
|
58 |
58 |
$2K |
| 0111A |
|
55 |
55 |
$2K |
| 99051 |
|
569 |
567 |
$2K |
| 90744 |
|
1,584 |
1,578 |
$2K |
| 99401 |
|
72 |
72 |
$2K |
| 90656 |
|
532 |
532 |
$2K |
| 90651 |
|
1,371 |
1,370 |
$1K |
| 90670 |
|
751 |
751 |
$1K |
| 90716 |
|
403 |
403 |
$1K |
| 90480 |
|
26 |
26 |
$1K |
| 90707 |
|
404 |
403 |
$890.13 |
| 90734 |
|
692 |
691 |
$857.98 |
| 90688 |
|
328 |
328 |
$588.79 |
| 91319 |
|
15 |
15 |
$308.11 |
| 90660 |
|
65 |
65 |
$304.40 |
| 90672 |
|
252 |
252 |
$292.89 |
| 90700 |
|
336 |
336 |
$250.00 |
| 90633 |
|
319 |
319 |
$181.35 |
| 99050 |
|
27 |
27 |
$85.62 |
| 90648 |
|
116 |
116 |
$75.00 |
| 99072 |
|
243 |
238 |
$48.00 |
| 90713 |
|
70 |
70 |
$25.00 |
| 91311 |
|
88 |
87 |
$4.38 |
| 91307 |
|
266 |
239 |
$0.91 |
| 91305 |
|
50 |
49 |
$0.26 |
| 91300 |
|
223 |
197 |
$0.25 |
| 90685 |
|
261 |
261 |
$0.00 |
| 90698 |
|
165 |
165 |
$0.00 |
| 90680 |
|
356 |
356 |
$0.00 |
| 1220F |
|
63 |
63 |
$0.00 |