| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,949 |
2,661 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,797 |
1,624 |
$95K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
117 |
115 |
$10K |
| 94010 |
|
190 |
187 |
$4K |
| 93000 |
|
370 |
363 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
25 |
24 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 95923 |
|
15 |
13 |
$819.76 |
| 90688 |
|
38 |
38 |
$766.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
55 |
$532.16 |
| 20552 |
|
16 |
15 |
$493.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$470.42 |
| 36415 |
Collection of venous blood by venipuncture |
261 |
254 |
$157.80 |
| 94760 |
|
441 |
414 |
$67.96 |
| A4557 |
Lead wires, (e.g., apnea monitor), per pair |
12 |
12 |
$0.00 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
12 |
12 |
$0.00 |