| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,724 |
4,135 |
$311K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,581 |
3,160 |
$152K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
290 |
243 |
$20K |
| 99215 |
Prolong outpt/office vis |
55 |
53 |
$3K |
| 90686 |
|
129 |
88 |
$2K |
| 0012A |
|
25 |
22 |
$1K |
| 0011A |
|
24 |
21 |
$979.77 |
| 90656 |
|
16 |
12 |
$320.49 |
| 36415 |
Collection of venous blood by venipuncture |
367 |
326 |
$131.35 |
| 82962 |
|
31 |
25 |
$51.29 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
12 |
$34.50 |