| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,843 |
8,557 |
$241K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,247 |
4,809 |
$89K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,361 |
1,355 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,230 |
1,228 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
721 |
710 |
$18K |
| 92587 |
|
771 |
771 |
$16K |
| 92552 |
|
2,929 |
2,920 |
$15K |
| 99406 |
|
1,900 |
1,886 |
$12K |
| 90461 |
|
1,072 |
952 |
$11K |
| 99401 |
|
1,338 |
1,332 |
$7K |
| 99442 |
|
137 |
132 |
$4K |
| 97802 |
|
1,407 |
1,403 |
$3K |
| 90686 |
|
1,441 |
1,435 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
91 |
91 |
$2K |
| 90656 |
|
215 |
214 |
$2K |
| 99173 |
|
613 |
611 |
$2K |
| 99408 |
|
1,235 |
1,225 |
$1K |
| 99172 |
|
2,565 |
2,546 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
26 |
$966.15 |
| 90658 |
|
57 |
57 |
$684.92 |
| 0003A |
|
13 |
13 |
$571.61 |
| 90649 |
|
63 |
63 |
$535.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$206.54 |
| 36415 |
Collection of venous blood by venipuncture |
430 |
428 |
$151.10 |
| 90672 |
|
335 |
334 |
$115.54 |
| 90700 |
|
169 |
166 |
$75.00 |
| 90715 |
|
14 |
12 |
$44.16 |
| 91307 |
|
15 |
14 |
$0.09 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
133 |
131 |
$0.08 |
| 90633 |
|
12 |
12 |
$0.00 |
| 3511F |
|
49 |
49 |
$0.00 |
| 90713 |
|
71 |
71 |
$0.00 |
| 90734 |
|
41 |
40 |
$0.00 |
| 90670 |
|
15 |
15 |
$0.00 |
| 3351F |
|
832 |
832 |
$0.00 |
| 3008F |
|
421 |
421 |
$0.00 |
| 90651 |
|
95 |
95 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |