| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,113 |
969 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
709 |
678 |
$37K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$1K |
| 96127 |
|
458 |
418 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$737.04 |
| 93000 |
|
34 |
24 |
$565.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
46 |
$392.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$21.72 |
| 90674 |
|
19 |
19 |
$9.50 |
| 3008F |
|
15 |
14 |
$0.15 |