| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,651 |
1,516 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
915 |
878 |
$75K |
| 99442 |
|
176 |
173 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$2K |
| 90674 |
|
35 |
35 |
$1K |
| 90756 |
|
27 |
27 |
$559.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
97 |
97 |
$536.38 |
| 90686 |
|
21 |
21 |
$331.84 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$161.17 |
| 96127 |
|
40 |
40 |
$136.14 |
| 81002 |
|
63 |
63 |
$114.98 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$24.09 |