| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,544 |
2,797 |
$267K |
| 99205 |
Prolong outpt/office vis |
275 |
269 |
$34K |
| 36415 |
Collection of venous blood by venipuncture |
961 |
918 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$964.68 |
| 87070 |
|
109 |
104 |
$742.94 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
13 |
$726.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
39 |
$273.00 |
| 97802 |
|
305 |
300 |
$206.01 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
21 |
20 |
$196.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$134.11 |
| 87102 |
|
20 |
20 |
$12.93 |
| 1159F |
|
167 |
134 |
$0.04 |
| 3078F |
|
77 |
73 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 99000 |
|
920 |
876 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
361 |
352 |
$0.00 |
| 3074F |
|
79 |
75 |
$0.00 |
| 3008F |
|
13 |
13 |
$0.00 |
| 2000F |
|
40 |
40 |
$0.00 |
| 1036F |
|
26 |
24 |
$0.00 |