| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,504 |
4,699 |
$238K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,067 |
3,659 |
$228K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
118 |
112 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
50 |
$3K |
| 90688 |
|
132 |
94 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
15 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
983 |
895 |
$1K |
| 90658 |
|
51 |
34 |
$889.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
15 |
$145.18 |
| 99072 |
|
52 |
50 |
$100.00 |