| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,461 |
3,382 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,710 |
3,418 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
381 |
380 |
$561.15 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
108 |
108 |
$371.29 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
108 |
107 |
$358.34 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
39 |
39 |
$175.11 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
118 |
117 |
$158.80 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$145.29 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
183 |
182 |
$119.43 |
| 36415 |
Collection of venous blood by venipuncture |
2,533 |
2,499 |
$87.26 |
| 90756 |
|
85 |
85 |
$82.50 |
| 90694 |
|
27 |
27 |
$62.67 |
| 90686 |
|
21 |
21 |
$52.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$27.28 |
| S0612 |
Annual gynecological examination, established patient |
12 |
12 |
$25.00 |
| 57410 |
|
12 |
12 |
$25.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$25.00 |
| 99441 |
|
52 |
44 |
$0.00 |
| 99451 |
|
12 |
12 |
$0.00 |
| 90674 |
|
189 |
188 |
$0.00 |
| 99442 |
|
31 |
29 |
$0.00 |
| 99201 |
|
220 |
220 |
$0.00 |
| 0013A |
|
54 |
54 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |