| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,378 |
1,310 |
$128K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,097 |
1,033 |
$72K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
263 |
260 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
113 |
112 |
$961.96 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$861.06 |
| 90686 |
|
135 |
134 |
$707.67 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$536.01 |
| 36415 |
Collection of venous blood by venipuncture |
54 |
53 |
$154.30 |
| 96127 |
|
12 |
12 |
$31.47 |
| 90461 |
|
37 |
37 |
$0.00 |