| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,793 |
4,432 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,849 |
5,332 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
68 |
68 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
4,215 |
4,132 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
106 |
106 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
114 |
113 |
$527.46 |
| 88150 |
|
85 |
85 |
$493.87 |
| 99000 |
|
775 |
746 |
$451.57 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$427.82 |
| 90688 |
|
45 |
45 |
$321.72 |
| 81007 |
|
296 |
294 |
$253.23 |
| 3078F |
|
216 |
207 |
$98.00 |
| 3074F |
|
177 |
173 |
$19.00 |
| 3008F |
|
119 |
119 |
$12.00 |
| 81002 |
|
47 |
46 |
$2.13 |
| 99173 |
|
13 |
13 |
$0.00 |
| 3079F |
|
15 |
12 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
14 |
$0.00 |