| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,780 |
4,932 |
$376K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,384 |
1,344 |
$121K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
540 |
540 |
$47K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
412 |
412 |
$38K |
| 90674 |
|
375 |
375 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
441 |
438 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
63 |
61 |
$3K |
| 0013A |
|
69 |
69 |
$2K |
| 99385 |
|
12 |
12 |
$1K |
| 93000 |
|
52 |
52 |
$617.53 |
| 0012A |
|
18 |
18 |
$583.45 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
13 |
$238.88 |
| 36415 |
Collection of venous blood by venipuncture |
38 |
37 |
$21.58 |
| 91301 |
|
141 |
137 |
$0.00 |