| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,099 |
19,004 |
$58K |
| 88150 |
|
677 |
676 |
$14K |
| 90688 |
|
429 |
429 |
$6K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
594 |
593 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
464 |
464 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
833 |
832 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
90 |
90 |
$289.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$283.44 |
| 3008F |
|
1,953 |
1,922 |
$152.33 |
| 90653 |
|
44 |
44 |
$141.52 |
| 90658 |
|
36 |
36 |
$135.00 |
| 90656 |
|
29 |
29 |
$100.00 |
| 90662 |
|
27 |
27 |
$66.96 |
| 90674 |
|
18 |
18 |
$5.89 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
146 |
145 |
$0.00 |