| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,955 |
1,861 |
$224K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,627 |
1,286 |
$135K |
| 99215 |
Prolong outpt/office vis |
108 |
107 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
1,045 |
993 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$2K |
| 90756 |
|
26 |
26 |
$619.20 |
| 90688 |
|
13 |
13 |
$219.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$23.28 |