| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,963 |
2,295 |
$176K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,341 |
1,882 |
$97K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
362 |
313 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
67 |
58 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
57 |
55 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,343 |
1,229 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
161 |
147 |
$3K |
| 90686 |
|
251 |
208 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
94 |
88 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$822.00 |
| 99401 |
|
41 |
35 |
$780.27 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
25 |
$358.29 |
| 81000 |
|
16 |
14 |
$50.05 |
| 90658 |
|
48 |
19 |
$0.00 |