| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,704 |
2,179 |
$99K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
773 |
672 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,057 |
897 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
141 |
138 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
908 |
813 |
$3K |
| 90674 |
|
208 |
187 |
$3K |
| 96127 |
|
922 |
854 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
214 |
194 |
$1K |
| 91320 |
|
37 |
37 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
15 |
$1K |
| 90661 |
|
49 |
49 |
$706.78 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$520.92 |
| 90688 |
|
19 |
19 |
$296.14 |
| 90480 |
|
31 |
31 |
$258.74 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
26 |
$19.80 |
| 99173 |
|
12 |
12 |
$17.57 |
| 81003 |
|
20 |
17 |
$14.01 |