| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,300 |
3,954 |
$153K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,775 |
1,317 |
$27K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
56 |
46 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,941 |
1,538 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
14 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
180 |
139 |
$488.44 |
| 81000 |
|
585 |
513 |
$251.21 |
| 93000 |
|
101 |
84 |
$123.53 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
30 |
24 |
$16.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
21 |
$12.43 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
34 |
25 |
$10.94 |
| 82962 |
|
17 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
55 |
42 |
$0.00 |
| 90694 |
|
46 |
38 |
$0.00 |
| 90656 |
|
54 |
46 |
$0.00 |