| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,439 |
2,275 |
$250K |
| 99215 |
Prolong outpt/office vis |
813 |
777 |
$119K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,531 |
1,414 |
$95K |
| 99205 |
Prolong outpt/office vis |
323 |
318 |
$59K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
1,061 |
1,033 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
53 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
111 |
110 |
$2K |
| 99386 |
|
13 |
13 |
$2K |
| 93922 |
|
28 |
28 |
$2K |
| 99385 |
|
12 |
12 |
$2K |
| 90686 |
|
93 |
93 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
88 |
70 |
$2K |
| 80305 |
|
142 |
123 |
$2K |
| 99442 |
|
13 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
41 |
39 |
$630.54 |
| 90756 |
|
19 |
19 |
$590.93 |
| 90688 |
|
33 |
32 |
$580.32 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$259.75 |
| 93000 |
|
18 |
18 |
$248.33 |
| 90658 |
|
13 |
13 |
$207.06 |
| 93702 |
|
12 |
12 |
$148.89 |
| 81000 |
|
14 |
14 |
$50.52 |
| 99072 |
|
23 |
23 |
$0.00 |