| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,062 |
2,805 |
$178K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,478 |
1,409 |
$111K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
110 |
109 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
73 |
73 |
$6K |
| 93000 |
|
144 |
140 |
$2K |
| 96127 |
|
320 |
313 |
$1K |
| 94010 |
|
30 |
30 |
$833.58 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
51 |
42 |
$645.12 |
| 36415 |
Collection of venous blood by venipuncture |
255 |
246 |
$539.73 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$257.20 |
| 90674 |
|
13 |
13 |
$218.80 |
| 81002 |
|
12 |
12 |
$3.19 |