| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,809 |
4,799 |
$552K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,671 |
3,172 |
$94K |
| 36415 |
Collection of venous blood by venipuncture |
3,307 |
3,236 |
$64K |
| 99215 |
Prolong outpt/office vis |
2,763 |
2,401 |
$28K |
| 96156 |
|
927 |
922 |
$15K |
| 93000 |
|
565 |
564 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
139 |
136 |
$9K |
| 1126F |
|
376 |
348 |
$8K |
| 96127 |
|
629 |
626 |
$7K |
| 99385 |
|
81 |
80 |
$5K |
| 99205 |
Prolong outpt/office vis |
346 |
345 |
$4K |
| 90674 |
|
159 |
159 |
$3K |
| 1170F |
|
166 |
164 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
183 |
183 |
$3K |
| 1160F |
|
76 |
75 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
37 |
$2K |
| 1159F |
|
76 |
75 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
55 |
$1K |
| 1158F |
|
16 |
15 |
$800.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$540.00 |
| 3078F |
|
527 |
487 |
$429.70 |
| 90756 |
|
13 |
13 |
$398.44 |
| 3074F |
|
452 |
418 |
$259.42 |
| 99173 |
|
12 |
12 |
$245.00 |
| 3008F |
|
100 |
99 |
$210.02 |
| 3075F |
|
52 |
49 |
$114.40 |
| 3079F |
|
13 |
13 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |