| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,293 |
1,600 |
$111K |
| 99199 |
Unlisted special service, procedure or report |
15,025 |
6,057 |
$99K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
304 |
204 |
$8K |
| 99215 |
Prolong outpt/office vis |
130 |
107 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
35 |
26 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
58 |
44 |
$2K |
| 96127 |
|
1,106 |
636 |
$2K |
| 81002 |
|
1,186 |
852 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
33 |
$320.45 |
| 82962 |
|
269 |
194 |
$253.74 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
44 |
$217.70 |
| 36415 |
Collection of venous blood by venipuncture |
209 |
118 |
$196.05 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
15 |
$134.15 |
| 99000 |
|
701 |
503 |
$0.00 |
| 1101F |
|
235 |
172 |
$0.00 |