| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,595 |
3,871 |
$264K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,415 |
1,291 |
$49K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
258 |
256 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
199 |
190 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
671 |
636 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$992.35 |
| 90688 |
|
47 |
46 |
$745.64 |
| 96160 |
|
82 |
82 |
$292.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$199.85 |
| 3077F |
|
13 |
12 |
$0.00 |
| 3074F |
|
39 |
36 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |