| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,091 |
2,499 |
$161K |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,081 |
1,695 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
890 |
713 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
67 |
$2K |
| 0012A |
|
81 |
78 |
$2K |
| 0011A |
|
105 |
102 |
$2K |
| 99401 |
|
58 |
52 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
57 |
$783.08 |
| 90686 |
|
49 |
45 |
$395.98 |
| 90756 |
|
33 |
28 |
$346.37 |
| 0031A |
|
13 |
13 |
$217.44 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$0.00 |
| 99000 |
|
15 |
13 |
$0.00 |