| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,501 |
5,919 |
$267K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
882 |
876 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
892 |
861 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,146 |
1,133 |
$15K |
| 90686 |
|
812 |
808 |
$14K |
| 90674 |
|
141 |
141 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
32 |
32 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
36 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
218 |
189 |
$1K |
| 93000 |
|
102 |
102 |
$1K |
| 99397 |
|
24 |
24 |
$1K |
| 90656 |
|
40 |
40 |
$801.13 |
| 90662 |
|
66 |
66 |
$578.11 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
80 |
70 |
$170.45 |
| G0008 |
Administration of influenza virus vaccine |
28 |
28 |
$23.00 |
| 82962 |
|
24 |
24 |
$20.68 |
| 3078F |
|
140 |
138 |
$0.00 |
| 1159F |
|
34 |
31 |
$0.00 |
| 1160F |
|
37 |
34 |
$0.00 |
| 3061F |
|
12 |
12 |
$0.00 |
| 3074F |
|
86 |
84 |
$0.00 |
| 1170F |
|
17 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.00 |