| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,258 |
2,807 |
$170K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,011 |
1,690 |
$147K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,679 |
1,599 |
$115K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,618 |
1,558 |
$115K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
746 |
718 |
$53K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,204 |
2,875 |
$49K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,481 |
1,381 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
383 |
370 |
$27K |
| 90686 |
|
1,741 |
1,661 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
550 |
307 |
$8K |
| 90670 |
|
583 |
564 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
242 |
225 |
$7K |
| 90698 |
|
79 |
73 |
$2K |
| 99000 |
|
507 |
458 |
$2K |
| 90633 |
|
182 |
180 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
97 |
92 |
$2K |
| 90648 |
|
391 |
380 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
61 |
61 |
$2K |
| 90681 |
|
50 |
43 |
$2K |
| 90723 |
|
172 |
163 |
$781.26 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
47 |
41 |
$562.68 |
| 90474 |
|
13 |
12 |
$332.72 |
| 90473 |
|
14 |
14 |
$153.08 |
| 90461 |
|
13 |
12 |
$149.44 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
26 |
$141.76 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90672 |
|
44 |
44 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |