| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,361 |
18,545 |
$2.11M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,260 |
1,257 |
$162K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,752 |
2,620 |
$46K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
262 |
262 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
468 |
451 |
$25K |
| 90686 |
|
806 |
806 |
$17K |
| 90674 |
|
313 |
313 |
$9K |
| 90677 |
|
31 |
31 |
$8K |
| 90732 |
|
68 |
68 |
$8K |
| G0008 |
Administration of influenza virus vaccine |
456 |
456 |
$8K |
| 90688 |
|
399 |
399 |
$7K |
| 3074F |
|
3,311 |
2,969 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
6,186 |
6,091 |
$5K |
| 3078F |
|
2,271 |
2,066 |
$4K |
| 3079F |
|
1,452 |
1,341 |
$3K |
| 90656 |
|
60 |
60 |
$1K |
| 90682 |
|
22 |
22 |
$1K |
| 90756 |
|
44 |
44 |
$993.69 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
43 |
43 |
$756.75 |
| 3075F |
|
122 |
118 |
$195.00 |
| 3077F |
|
59 |
54 |
$192.50 |
| 3080F |
|
31 |
29 |
$77.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
16 |
$15.00 |