| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,104 |
1,708 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,452 |
1,089 |
$47K |
| 99215 |
Prolong outpt/office vis |
114 |
107 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$891.35 |
| 36415 |
Collection of venous blood by venipuncture |
238 |
223 |
$786.96 |
| 81000 |
|
141 |
134 |
$195.28 |
| 90688 |
|
12 |
12 |
$175.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$128.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
13 |
$16.00 |