| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,457 |
1,123 |
$100K |
| 90739 |
|
243 |
207 |
$37K |
| 90716 |
|
172 |
116 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
419 |
320 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
211 |
167 |
$16K |
| 90746 |
|
221 |
149 |
$16K |
| 90713 |
|
378 |
247 |
$14K |
| 90651 |
|
61 |
43 |
$13K |
| 90686 |
|
298 |
194 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
33 |
31 |
$3K |
| 90750 |
|
13 |
13 |
$2K |
| 99215 |
Prolong outpt/office vis |
21 |
12 |
$2K |
| 90707 |
|
15 |
13 |
$1K |
| 90656 |
|
19 |
14 |
$383.12 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
14 |
13 |
$141.88 |
| 81025 |
|
14 |
13 |
$72.38 |
| 36415 |
Collection of venous blood by venipuncture |
106 |
87 |
$6.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
426 |
348 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
49 |
35 |
$0.00 |