| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,892 |
3,311 |
$177K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
466 |
461 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
432 |
429 |
$14K |
| 99442 |
|
207 |
203 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
475 |
469 |
$6K |
| 90688 |
|
419 |
417 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
54 |
54 |
$4K |
| 99050 |
|
2,603 |
2,241 |
$2K |
| 90658 |
|
36 |
36 |
$743.24 |
| 36415 |
Collection of venous blood by venipuncture |
1,888 |
1,821 |
$174.25 |
| 3074F |
|
12 |
12 |
$15.00 |
| 1170F |
|
361 |
359 |
$5.00 |
| 1159F |
|
103 |
102 |
$5.00 |
| 3008F |
|
302 |
300 |
$0.00 |
| 1000F |
|
269 |
268 |
$0.00 |