| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,637 |
4,083 |
$266K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,997 |
2,673 |
$224K |
| 99385 |
|
63 |
63 |
$6K |
| 90686 |
|
285 |
285 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
501 |
494 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$2K |
| 90688 |
|
109 |
109 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
272 |
268 |
$2K |
| 90656 |
|
86 |
86 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$965.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$586.87 |
| 36415 |
Collection of venous blood by venipuncture |
1,980 |
1,882 |
$304.04 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
58 |
42 |
$0.00 |