| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,020 |
669 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
544 |
418 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
93 |
56 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
74 |
50 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
26 |
$3K |
| 99000 |
|
87 |
52 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
93 |
60 |
$1K |
| 81002 |
|
117 |
83 |
$284.70 |
| 80305 |
|
20 |
12 |
$186.30 |
| 81025 |
|
22 |
14 |
$111.16 |
| 36415 |
Collection of venous blood by venipuncture |
156 |
102 |
$80.84 |
| 3008F |
|
1,132 |
663 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
30 |
$0.00 |