| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,783 |
1,584 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
796 |
715 |
$35K |
| 36415 |
Collection of venous blood by venipuncture |
1,600 |
1,496 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
108 |
104 |
$2K |
| 90686 |
|
121 |
120 |
$1K |
| 99442 |
|
61 |
58 |
$1K |
| 96127 |
|
341 |
317 |
$838.68 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
12 |
$545.86 |
| 93000 |
|
17 |
13 |
$199.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$149.50 |
| 99000 |
|
118 |
107 |
$15.00 |