| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,718 |
5,973 |
$1.01M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,729 |
2,405 |
$380K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
550 |
464 |
$94K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
228 |
225 |
$39K |
| Q3014 |
Telehealth originating site facility fee |
326 |
283 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
38 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
17 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,192 |
1,167 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
461 |
453 |
$1K |
| 90686 |
|
184 |
181 |
$223.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$99.60 |
| 90656 |
|
63 |
62 |
$44.70 |
| 36415 |
Collection of venous blood by venipuncture |
384 |
338 |
$33.20 |
| 90677 |
|
26 |
26 |
$0.00 |
| 90723 |
|
41 |
40 |
$0.00 |
| 90647 |
|
60 |
58 |
$0.00 |
| 90670 |
|
95 |
91 |
$0.00 |