| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,649 |
2,480 |
$330K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
797 |
760 |
$76K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
436 |
436 |
$57K |
| 90674 |
|
553 |
553 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
639 |
634 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
2,865 |
2,814 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$2K |
| 90686 |
|
38 |
38 |
$683.90 |
| 0031A |
|
13 |
13 |
$525.46 |
| 99000 |
|
2,348 |
2,294 |
$10.19 |
| 91303 |
|
12 |
12 |
$0.03 |
| 3725F |
|
104 |
104 |
$0.00 |
| 1159F |
|
268 |
256 |
$0.00 |
| 1160F |
|
261 |
250 |
$0.00 |