| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,337 |
766 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
165 |
104 |
$2K |
| 99215 |
Prolong outpt/office vis |
51 |
33 |
$1K |
| 99336 |
|
219 |
167 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
95 |
51 |
$1K |
| 99349 |
|
13 |
13 |
$841.86 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
12 |
$275.40 |
| 90686 |
|
14 |
13 |
$102.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$69.96 |
| 99328 |
|
12 |
12 |
$36.82 |
| 36415 |
Collection of venous blood by venipuncture |
198 |
98 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
16 |
16 |
$0.00 |