| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,026 |
4,830 |
$184K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
867 |
830 |
$15K |
| 96127 |
|
4,561 |
4,424 |
$10K |
| 90686 |
|
632 |
631 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
74 |
74 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
35 |
33 |
$3K |
| 99385 |
|
36 |
36 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$2K |
| 99499 |
|
51 |
50 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
188 |
182 |
$865.00 |
| 99386 |
|
13 |
13 |
$818.76 |
| 3074F |
|
241 |
239 |
$749.99 |
| 3079F |
|
133 |
127 |
$380.00 |
| 99173 |
|
292 |
282 |
$365.67 |
| 90656 |
|
102 |
102 |
$327.75 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
12 |
$240.00 |
| 3078F |
|
63 |
63 |
$180.00 |
| 36415 |
Collection of venous blood by venipuncture |
880 |
788 |
$159.98 |
| 3080F |
|
13 |
12 |
$20.00 |
| 3075F |
|
13 |
13 |
$10.00 |
| G9920 |
Screening performed and negative |
3,921 |
3,791 |
$0.00 |
| 90715 |
|
89 |
89 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
204 |
198 |
$0.00 |
| 1159F |
|
24 |
24 |
$0.00 |
| 1160F |
|
24 |
24 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$0.00 |
| 1170F |
|
46 |
46 |
$0.00 |