| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,522 |
4,616 |
$357K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
887 |
874 |
$63K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
388 |
386 |
$23K |
| 99397 |
|
280 |
279 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
245 |
237 |
$10K |
| 90674 |
|
350 |
350 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
604 |
603 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
98 |
98 |
$8K |
| 90756 |
|
160 |
160 |
$5K |
| 99386 |
|
17 |
17 |
$1K |
| 90688 |
|
59 |
59 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 90661 |
|
27 |
27 |
$994.95 |
| 3078F |
|
55 |
52 |
$0.00 |
| 3008F |
|
1,338 |
1,324 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,181 |
2,175 |
$0.00 |
| 3074F |
|
67 |
62 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
20 |
16 |
$0.00 |
| 99384 |
|
13 |
13 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |