| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,039 |
1,951 |
$155K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,727 |
1,704 |
$94K |
| 99487 |
Ccm add 20min |
1,364 |
1,359 |
$83K |
| 99401 |
|
1,020 |
1,011 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
185 |
185 |
$16K |
| 93000 |
|
537 |
536 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,745 |
1,674 |
$3K |
| 90674 |
|
99 |
98 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
73 |
$972.78 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$847.43 |
| 96127 |
|
259 |
258 |
$355.12 |
| 99490 |
Ccm add 20min |
30 |
30 |
$155.70 |
| 1160F |
|
24 |
23 |
$0.00 |