| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,397 |
2,222 |
$251K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,736 |
1,600 |
$133K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
610 |
600 |
$64K |
| 99385 |
|
55 |
54 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
51 |
50 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
214 |
212 |
$3K |
| 90686 |
|
204 |
203 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
577 |
557 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
29 |
$1K |
| 87428 |
|
17 |
15 |
$1K |
| 0011A |
|
17 |
17 |
$793.63 |
| 0012A |
|
16 |
16 |
$699.43 |
| 99499 |
|
301 |
259 |
$0.00 |