| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,068 |
2,978 |
$150K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,174 |
4,947 |
$148K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
654 |
653 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
633 |
622 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
37 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
3,237 |
3,186 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25 |
25 |
$546.19 |
| 90686 |
|
40 |
40 |
$428.26 |
| 90658 |
|
14 |
14 |
$166.18 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$156.56 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$0.00 |
| 99000 |
|
1,996 |
1,934 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
117 |
111 |
$0.00 |