| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,135 |
2,938 |
$289K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,432 |
1,359 |
$97K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
218 |
217 |
$32K |
| 99205 |
Prolong outpt/office vis |
167 |
164 |
$28K |
| 36415 |
Collection of venous blood by venipuncture |
1,964 |
1,897 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
212 |
205 |
$4K |
| 90674 |
|
107 |
105 |
$3K |
| 99385 |
|
13 |
13 |
$2K |
| 93000 |
|
177 |
177 |
$2K |
| 90686 |
|
58 |
56 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$990.27 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
23 |
$481.79 |
| 90658 |
|
36 |
36 |
$420.07 |
| 99401 |
|
15 |
15 |
$336.58 |
| 99457 |
|
14 |
14 |
$33.51 |