| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,550 |
6,035 |
$246K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,232 |
3,899 |
$121K |
| 99215 |
Prolong outpt/office vis |
423 |
406 |
$31K |
| 93000 |
|
1,569 |
1,526 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
232 |
226 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
430 |
379 |
$9K |
| 90688 |
|
623 |
603 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
400 |
389 |
$5K |
| 99442 |
|
196 |
184 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,079 |
2,010 |
$3K |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
47 |
47 |
$712.77 |
| G0008 |
Administration of influenza virus vaccine |
205 |
198 |
$705.79 |
| 93922 |
|
12 |
12 |
$403.45 |
| 90686 |
|
16 |
16 |
$188.44 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$24.34 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
97 |
95 |
$0.00 |