| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,792 |
686 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,653 |
411 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
462 |
171 |
$16K |
| 99205 |
Prolong outpt/office vis |
132 |
56 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
118 |
45 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,057 |
222 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
96 |
33 |
$2K |
| 90661 |
|
33 |
24 |
$451.88 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
30 |
12 |
$391.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
25 |
$229.53 |
| 93000 |
|
48 |
18 |
$181.61 |
| 36415 |
Collection of venous blood by venipuncture |
214 |
90 |
$164.13 |
| 82962 |
|
72 |
23 |
$43.20 |
| 36416 |
|
111 |
41 |
$7.07 |