| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
861 |
547 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
415 |
283 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
104 |
64 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
61 |
43 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
101 |
55 |
$1K |
| 90734 |
|
29 |
14 |
$1K |
| 90686 |
|
55 |
28 |
$655.14 |
| 99000 |
|
25 |
25 |
$563.04 |
| 80305 |
|
25 |
15 |
$161.64 |
| 36415 |
Collection of venous blood by venipuncture |
98 |
62 |
$39.20 |
| 3074F |
|
163 |
81 |
$0.00 |
| 3008F |
|
823 |
441 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
19 |
$0.00 |