| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,591 |
3,113 |
$523K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
122 |
115 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
73 |
73 |
$10K |
| 93922 |
|
72 |
72 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
44 |
$7K |
| 93882 |
|
72 |
72 |
$6K |
| 93979 |
|
72 |
72 |
$5K |
| 94010 |
|
73 |
73 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
121 |
120 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$2K |
| 93000 |
|
76 |
76 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
44 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
372 |
363 |
$922.19 |
| 90674 |
|
31 |
31 |
$471.68 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$288.32 |
| 96160 |
|
66 |
66 |
$0.00 |