| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,965 |
2,706 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,011 |
8,541 |
$64K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,484 |
1,441 |
$52K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,420 |
4,321 |
$51K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,030 |
1,981 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,425 |
1,378 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,131 |
1,105 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
880 |
877 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
591 |
582 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
360 |
357 |
$14K |
| 90658 |
|
1,125 |
1,106 |
$6K |
| 90671 |
|
17 |
17 |
$2K |
| 36406 |
|
462 |
461 |
$2K |
| 90619 |
|
12 |
12 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
31 |
$864.86 |
| 36415 |
Collection of venous blood by venipuncture |
235 |
235 |
$635.77 |
| 99381 |
|
15 |
15 |
$608.60 |
| 90723 |
|
26 |
26 |
$538.65 |
| 90649 |
|
12 |
12 |
$480.51 |
| 90670 |
|
47 |
47 |
$420.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
36 |
$383.20 |
| 90734 |
|
12 |
12 |
$269.54 |
| 90633 |
|
53 |
52 |
$184.60 |
| 99441 |
|
37 |
34 |
$83.33 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
27 |
$70.23 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
386 |
384 |
$27.74 |
| 97802 |
|
481 |
478 |
$0.00 |
| 90680 |
|
46 |
46 |
$0.00 |
| 90657 |
|
29 |
29 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |