| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,085 |
1,003 |
$70K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
935 |
869 |
$42K |
| 90686 |
|
173 |
152 |
$3K |
| 90656 |
|
72 |
48 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
18 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
16 |
$814.69 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$692.27 |
| 90651 |
|
16 |
15 |
$509.80 |
| 90715 |
|
13 |
13 |
$326.73 |
| 36415 |
Collection of venous blood by venipuncture |
78 |
74 |
$6.90 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29 |
28 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
37 |
$0.00 |