| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,880 |
1,506 |
$134K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,206 |
1,667 |
$110K |
| T1015 |
Clinic visit/encounter, all-inclusive |
8,794 |
5,889 |
$40K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
487 |
384 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
140 |
112 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
540 |
408 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
638 |
523 |
$6K |
| 59426 |
|
112 |
37 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
33 |
29 |
$2K |
| 87634 |
|
28 |
23 |
$2K |
| 81025 |
|
188 |
154 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
24 |
$967.41 |
| 36415 |
Collection of venous blood by venipuncture |
236 |
173 |
$858.64 |
| 90474 |
|
43 |
36 |
$416.70 |
| 96127 |
|
52 |
37 |
$128.38 |
| 96161 |
|
83 |
50 |
$124.62 |
| 90686 |
|
24 |
19 |
$19.16 |
| 90680 |
|
43 |
36 |
$0.00 |
| 3079F |
|
17 |
14 |
$0.00 |
| 3074F |
|
612 |
499 |
$0.00 |
| 90697 |
|
126 |
105 |
$0.00 |
| 1159F |
|
414 |
324 |
$0.00 |
| 90670 |
|
182 |
158 |
$0.00 |
| 3078F |
|
465 |
381 |
$0.00 |
| 1160F |
|
412 |
322 |
$0.00 |
| 90671 |
|
47 |
42 |
$0.00 |
| 90655 |
|
15 |
12 |
$0.00 |