| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
847 |
831 |
$19K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
462 |
461 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
301 |
299 |
$7K |
| 90656 |
|
203 |
203 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
195 |
195 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
75 |
75 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19 |
19 |
$437.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,149 |
1,144 |
$350.07 |
| 3074F |
|
13 |
13 |
$7.50 |
| 3078F |
|
13 |
13 |
$7.50 |