| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,728 |
1,551 |
$117K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,711 |
1,526 |
$70K |
| 90739 |
|
142 |
102 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
192 |
167 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
137 |
118 |
$12K |
| 90686 |
|
559 |
384 |
$11K |
| 90746 |
|
59 |
48 |
$4K |
| 90651 |
|
17 |
12 |
$3K |
| 0001A |
|
87 |
63 |
$2K |
| 0012A |
|
50 |
49 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
72 |
$2K |
| 90656 |
|
63 |
49 |
$1K |
| 0002A |
|
30 |
27 |
$1K |
| 99490 |
Ccm add 20min |
46 |
46 |
$439.66 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
300 |
209 |
$177.44 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
12 |
$91.88 |
| 36415 |
Collection of venous blood by venipuncture |
88 |
88 |
$23.78 |