| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,424 |
2,273 |
$195K |
| 99199 |
Unlisted special service, procedure or report |
21,917 |
14,008 |
$127K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,946 |
1,280 |
$74K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
228 |
180 |
$5K |
| 99215 |
Prolong outpt/office vis |
50 |
39 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
33 |
33 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
473 |
293 |
$462.09 |
| 96127 |
|
62 |
43 |
$181.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$68.55 |
| 81025 |
|
13 |
12 |
$54.60 |
| 3074F |
|
200 |
141 |
$0.03 |
| 3078F |
|
92 |
64 |
$0.01 |
| 1160F |
|
63 |
51 |
$0.00 |
| 1159F |
|
63 |
51 |
$0.00 |
| 1036F |
|
15 |
13 |
$0.00 |
| 3008F |
|
279 |
209 |
$0.00 |
| 3079F |
|
45 |
29 |
$0.00 |
| 3080F |
|
20 |
15 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |