| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,545 |
1,855 |
$173K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,852 |
1,419 |
$83K |
| 90686 |
|
640 |
413 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
46 |
26 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
24 |
$2K |
| 90656 |
|
62 |
42 |
$1K |
| 90715 |
|
18 |
12 |
$573.24 |
| 36415 |
Collection of venous blood by venipuncture |
216 |
194 |
$6.07 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
74 |
47 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
206 |
107 |
$0.00 |