| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,213 |
1,017 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
263 |
235 |
$12K |
| 99382 |
|
39 |
20 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
214 |
187 |
$2K |
| 99307 |
|
76 |
75 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
44 |
$946.69 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
146 |
98 |
$855.36 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
13 |
$819.04 |
| 99383 |
|
18 |
12 |
$692.33 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
63 |
37 |
$355.40 |
| 90686 |
|
88 |
79 |
$259.86 |
| 36415 |
Collection of venous blood by venipuncture |
146 |
130 |
$186.43 |
| 99173 |
|
25 |
16 |
$34.21 |
| 90649 |
|
21 |
13 |
$0.00 |
| 92552 |
|
16 |
14 |
$0.00 |
| 90634 |
|
40 |
24 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
15 |
$0.00 |