| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,106 |
2,476 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,083 |
882 |
$80K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
204 |
160 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
175 |
116 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
216 |
165 |
$3K |
| 90619 |
|
152 |
82 |
$3K |
| 99000 |
|
111 |
82 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
76 |
50 |
$2K |
| 96127 |
|
66 |
65 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$934.44 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
14 |
$855.96 |
| 80305 |
|
84 |
80 |
$713.84 |
| 90715 |
|
40 |
18 |
$624.84 |
| 90710 |
|
41 |
17 |
$622.86 |
| 90651 |
|
27 |
13 |
$413.82 |
| 81002 |
|
153 |
116 |
$380.90 |
| 36415 |
Collection of venous blood by venipuncture |
362 |
304 |
$153.67 |
| 3008F |
|
2,725 |
2,179 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
83 |
39 |
$0.00 |
| 3074F |
|
85 |
49 |
$0.00 |