| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,969 |
10,647 |
$719K |
| 80305 |
|
7,136 |
4,426 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
712 |
667 |
$35K |
| 99442 |
|
282 |
189 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
386 |
349 |
$5K |
| 99441 |
|
52 |
33 |
$1K |
| 0011A |
|
24 |
24 |
$1K |
| 0012A |
|
21 |
21 |
$864.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
41 |
$760.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$656.48 |
| G0008 |
Administration of influenza virus vaccine |
63 |
62 |
$585.00 |
| 90686 |
|
31 |
31 |
$361.08 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$234.70 |
| 90674 |
|
19 |
19 |
$224.88 |
| 3074F |
|
1,125 |
1,042 |
$100.00 |
| 3078F |
|
1,028 |
946 |
$85.00 |
| 3079F |
|
502 |
476 |
$70.00 |
| 3077F |
|
363 |
334 |
$70.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
17 |
$60.00 |
| 3080F |
|
221 |
202 |
$30.00 |
| 3075F |
|
193 |
176 |
$30.00 |
| 3008F |
|
2,018 |
1,829 |
$0.00 |
| 91301 |
|
57 |
53 |
$0.00 |
| 1160F |
|
69 |
67 |
$0.00 |
| 1159F |
|
69 |
67 |
$0.00 |