| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,249 |
2,053 |
$177K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,754 |
1,585 |
$95K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
140 |
129 |
$11K |
| 96127 |
|
741 |
665 |
$11K |
| 90686 |
|
618 |
527 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
89 |
86 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
60 |
60 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$2K |
| 96160 |
|
122 |
108 |
$2K |
| 90670 |
|
103 |
88 |
$1K |
| 90672 |
|
18 |
14 |
$338.40 |
| 90723 |
|
28 |
27 |
$212.71 |
| 90698 |
|
16 |
12 |
$204.21 |
| 90647 |
|
15 |
15 |
$97.30 |
| 90680 |
|
14 |
14 |
$90.90 |
| 81025 |
|
12 |
12 |
$63.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
121 |
104 |
$17.68 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
14 |
$0.00 |