| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,316 |
5,486 |
$272K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,867 |
1,780 |
$121K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,531 |
1,467 |
$110K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,446 |
1,370 |
$95K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,956 |
4,454 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
887 |
832 |
$61K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,135 |
1,956 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
935 |
874 |
$54K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,213 |
2,059 |
$30K |
| 92551 |
|
3,706 |
3,451 |
$28K |
| 99173 |
|
4,430 |
4,074 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
3,241 |
3,101 |
$7K |
| 36410 |
|
851 |
678 |
$6K |
| 81025 |
|
974 |
915 |
$6K |
| 90620 |
|
295 |
277 |
$3K |
| 99205 |
Prolong outpt/office vis |
14 |
12 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
209 |
169 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
13 |
$1K |
| 90473 |
|
111 |
107 |
$1K |
| 90474 |
|
13 |
12 |
$109.56 |
| 86580 |
|
17 |
13 |
$75.79 |
| 90658 |
|
304 |
289 |
$32.80 |
| 90633 |
|
347 |
329 |
$0.57 |
| 90710 |
|
325 |
308 |
$0.00 |
| 90649 |
|
412 |
383 |
$0.00 |
| 90670 |
|
738 |
703 |
$0.00 |
| 90734 |
|
356 |
324 |
$0.00 |
| 90700 |
|
28 |
26 |
$0.00 |
| 90648 |
|
31 |
28 |
$0.00 |
| 90715 |
|
71 |
63 |
$0.00 |
| 90672 |
|
161 |
154 |
$0.00 |
| 90685 |
|
88 |
81 |
$0.00 |
| 90680 |
|
367 |
346 |
$0.00 |
| 90698 |
|
401 |
387 |
$0.00 |
| 90686 |
|
433 |
415 |
$0.00 |
| 3008F |
|
349 |
328 |
$0.00 |
| 90744 |
|
101 |
96 |
$0.00 |
| 90696 |
|
28 |
27 |
$0.00 |
| 90657 |
|
201 |
196 |
$0.00 |
| 90688 |
|
85 |
73 |
$0.00 |
| 99000 |
|
47 |
33 |
$0.00 |
| 90660 |
|
104 |
90 |
$0.00 |