| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,176 |
3,973 |
$389K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,207 |
2,954 |
$296K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
816 |
813 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
377 |
350 |
$27K |
| 99397 |
|
429 |
427 |
$22K |
| 87110 |
|
836 |
830 |
$3K |
| 99401 |
|
565 |
525 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
29 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
82 |
$961.56 |
| 90686 |
|
15 |
15 |
$247.39 |
| 90756 |
|
13 |
13 |
$182.32 |
| 36415 |
Collection of venous blood by venipuncture |
2,233 |
2,161 |
$158.65 |
| 3074F |
|
97 |
96 |
$10.00 |
| 99429 |
|
253 |
217 |
$0.00 |
| 3008F |
|
240 |
231 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
81 |
78 |
$0.00 |
| 3079F |
|
46 |
46 |
$0.00 |
| 3725F |
|
67 |
67 |
$0.00 |
| 3078F |
|
70 |
69 |
$0.00 |