| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
829 |
757 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
759 |
714 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
132 |
130 |
$2K |
| 90686 |
|
87 |
85 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
13 |
$1K |
| 0012A |
|
55 |
55 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
311 |
302 |
$932.20 |
| 0011A |
|
42 |
42 |
$576.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
19 |
$178.76 |
| 91301 |
|
100 |
100 |
$0.00 |