| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
912 |
793 |
$57K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
833 |
691 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
77 |
77 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
104 |
98 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
89 |
87 |
$4K |
| 93000 |
|
158 |
157 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
50 |
49 |
$2K |
| 99215 |
Prolong outpt/office vis |
24 |
24 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
431 |
400 |
$896.52 |
| 99051 |
|
113 |
96 |
$511.10 |
| 81000 |
|
207 |
197 |
$296.81 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$63.00 |
| 86580 |
|
12 |
12 |
$51.10 |