| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,182 |
1,942 |
$181K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
544 |
530 |
$33K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
168 |
168 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
108 |
108 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
130 |
129 |
$13K |
| 99385 |
|
43 |
43 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
47 |
$4K |
| 99215 |
Prolong outpt/office vis |
40 |
38 |
$4K |
| 93000 |
|
200 |
199 |
$3K |
| 96127 |
|
365 |
364 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
571 |
558 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
78 |
76 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
47 |
$500.58 |
| 81002 |
|
349 |
328 |
$317.87 |
| 99173 |
|
104 |
103 |
$245.63 |
| 90658 |
|
12 |
12 |
$192.07 |
| 81000 |
|
42 |
42 |
$112.86 |
| 2010F |
|
47 |
44 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |
| 3008F |
|
13 |
13 |
$0.00 |
| 1159F |
|
41 |
39 |
$0.00 |
| 3077F |
|
15 |
13 |
$0.00 |