| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,587 |
7,474 |
$558K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,991 |
1,912 |
$184K |
| 92552 |
|
1,254 |
1,254 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,194 |
2,189 |
$33K |
| 90461 |
|
645 |
644 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
371 |
371 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
381 |
381 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
195 |
194 |
$12K |
| 90658 |
|
526 |
526 |
$6K |
| 90656 |
|
321 |
321 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
289 |
287 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
51 |
$3K |
| 85018 |
|
941 |
941 |
$2K |
| 85014 |
|
902 |
902 |
$1K |
| 99173 |
|
1,069 |
1,069 |
$1K |
| 86804 |
|
56 |
54 |
$777.04 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$732.56 |
| 90686 |
|
580 |
580 |
$639.61 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$495.63 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
24 |
$308.01 |
| 36415 |
Collection of venous blood by venipuncture |
1,436 |
1,408 |
$288.26 |
| 36416 |
|
1,460 |
1,460 |
$130.00 |
| 3008F |
|
228 |
215 |
$0.02 |
| 90688 |
|
33 |
33 |
$0.00 |