| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,171 |
5,812 |
$463K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,341 |
4,891 |
$319K |
| 99406 |
|
3,252 |
3,007 |
$28K |
| 96127 |
|
636 |
632 |
$2K |
| 81002 |
|
269 |
255 |
$689.54 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$506.67 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
28 |
$484.56 |
| 90756 |
|
23 |
23 |
$478.59 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
21 |
$147.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$20.25 |
| 1159F |
|
6,007 |
5,411 |
$1.11 |
| 3079F |
|
2,028 |
1,931 |
$0.51 |
| 3074F |
|
3,735 |
3,505 |
$0.51 |
| 3078F |
|
2,969 |
2,830 |
$0.51 |
| 1160F |
|
5,996 |
5,404 |
$0.09 |
| 3075F |
|
1,105 |
1,065 |
$0.00 |
| 3077F |
|
35 |
34 |
$0.00 |