| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,150 |
7,975 |
$1.37M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,398 |
2,708 |
$326K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
400 |
363 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
91 |
90 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
93 |
93 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
42 |
$7K |
| 99215 |
Prolong outpt/office vis |
16 |
14 |
$1K |
| 90686 |
|
162 |
161 |
$162.25 |
| 36415 |
Collection of venous blood by venipuncture |
131 |
122 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
18 |
$0.00 |
| 90734 |
|
16 |
13 |
$0.00 |