| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,680 |
1,519 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,707 |
1,541 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
304 |
269 |
$6K |
| 96161 |
|
1,859 |
1,722 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
13 |
$2K |
| 96160 |
|
523 |
503 |
$2K |
| 99408 |
|
47 |
42 |
$2K |
| 90688 |
|
80 |
75 |
$1K |
| 90658 |
|
76 |
62 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
445 |
415 |
$937.86 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$281.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
16 |
$178.22 |
| 99173 |
|
12 |
12 |
$18.60 |