| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,656 |
7,777 |
$432K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
440 |
372 |
$25K |
| 80305 |
|
1,361 |
1,103 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
192 |
179 |
$5K |
| 99000 |
|
1,884 |
1,701 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,281 |
2,086 |
$3K |
| 90686 |
|
96 |
83 |
$968.66 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
12 |
$842.77 |
| 93000 |
|
86 |
71 |
$744.00 |
| 99441 |
|
194 |
167 |
$661.68 |
| 0002A |
|
15 |
15 |
$473.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
242 |
202 |
$354.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$174.36 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
19 |
15 |
$65.70 |
| 99406 |
|
12 |
12 |
$39.20 |
| 90656 |
|
32 |
24 |
$21.03 |
| 91300 |
|
14 |
14 |
$0.01 |
| G0008 |
Administration of influenza virus vaccine |
34 |
25 |
$0.00 |