| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,723 |
8,141 |
$34K |
| 90656 |
|
341 |
336 |
$7K |
| 99490 |
Ccm add 20min |
247 |
247 |
$4K |
| 90658 |
|
151 |
151 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,447 |
4,212 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
212 |
212 |
$926.98 |
| 90686 |
|
16 |
16 |
$315.04 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,037 |
1,018 |
$194.42 |
| 99457 |
|
64 |
64 |
$183.45 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
247 |
246 |
$63.06 |
| 90756 |
|
98 |
98 |
$7.09 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
58 |
57 |
$4.92 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
289 |
281 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
12 |
12 |
$0.00 |