| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,357 |
2,994 |
$167K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
103 |
94 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
19 |
19 |
$2K |
| 90686 |
|
14 |
14 |
$244.46 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
28 |
$182.00 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
13 |
$132.32 |
| 36415 |
Collection of venous blood by venipuncture |
30 |
28 |
$37.20 |
| 81000 |
|
13 |
12 |
$36.63 |
| 3074F |
|
182 |
176 |
$0.08 |
| 3079F |
|
60 |
58 |
$0.02 |
| 3078F |
|
53 |
53 |
$0.00 |
| 3077F |
|
30 |
28 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |