| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,154 |
4,353 |
$350K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,687 |
3,168 |
$164K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
449 |
384 |
$36K |
| 90686 |
|
1,010 |
773 |
$15K |
| 90750 |
|
60 |
38 |
$9K |
| 90677 |
|
26 |
25 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
67 |
63 |
$6K |
| 90715 |
|
116 |
78 |
$3K |
| 96160 |
|
120 |
84 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
21 |
16 |
$2K |
| 91320 |
|
15 |
12 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
13 |
$677.91 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
30 |
25 |
$155.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
425 |
335 |
$71.93 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
12 |
$61.50 |