| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,946 |
1,831 |
$111K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
948 |
895 |
$43K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
495 |
494 |
$41K |
| 90686 |
|
557 |
548 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
2,344 |
2,327 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
824 |
798 |
$7K |
| 96127 |
|
958 |
952 |
$3K |
| 0012A |
|
17 |
17 |
$680.00 |
| 0013A |
|
14 |
14 |
$560.00 |
| 90656 |
|
65 |
65 |
$339.62 |
| 0011A |
|
16 |
16 |
$271.04 |
| 3078F |
|
101 |
100 |
$0.00 |
| 91301 |
|
50 |
50 |
$0.00 |
| 3074F |
|
113 |
112 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 3075F |
|
14 |
14 |
$0.00 |