| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,344 |
4,801 |
$349K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,816 |
1,660 |
$124K |
| 99215 |
Prolong outpt/office vis |
99 |
97 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
126 |
114 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
4,349 |
4,076 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
82 |
82 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
556 |
524 |
$9K |
| 90688 |
|
475 |
431 |
$5K |
| 99385 |
|
45 |
44 |
$5K |
| 82947 |
|
1,381 |
1,192 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
60 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$2K |
| 90658 |
|
54 |
54 |
$863.71 |
| 90686 |
|
51 |
51 |
$837.42 |
| 86580 |
|
51 |
47 |
$412.82 |
| 90674 |
|
18 |
18 |
$346.32 |
| 90662 |
|
49 |
43 |
$0.00 |
| 3078F |
|
27 |
25 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
109 |
98 |
$0.00 |
| 3074F |
|
29 |
26 |
$0.00 |