| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,360 |
2,077 |
$118K |
| 99199 |
Unlisted special service, procedure or report |
10,537 |
10,537 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
675 |
607 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
626 |
542 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
57 |
42 |
$3K |
| 90686 |
|
410 |
379 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$935.04 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
12 |
$857.12 |
| 36415 |
Collection of venous blood by venipuncture |
374 |
327 |
$516.18 |
| 90832 |
Psychotherapy, 30 minutes with patient |
20 |
12 |
$276.30 |
| 80305 |
|
12 |
12 |
$95.27 |
| 96127 |
|
13 |
12 |
$36.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$23.94 |
| 92551 |
|
17 |
17 |
$16.04 |
| 99173 |
|
17 |
17 |
$0.00 |