| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,316 |
5,215 |
$164K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
680 |
643 |
$42K |
| 36415 |
Collection of venous blood by venipuncture |
3,747 |
3,520 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
462 |
440 |
$4K |
| 90686 |
|
238 |
224 |
$3K |
| 81002 |
|
1,575 |
1,460 |
$3K |
| 0064A |
|
107 |
105 |
$2K |
| 90658 |
|
80 |
74 |
$2K |
| 90688 |
|
158 |
154 |
$2K |
| 90756 |
|
98 |
95 |
$1K |
| 0012A |
|
79 |
58 |
$1K |
| 0011A |
|
84 |
62 |
$1K |
| 99497 |
|
464 |
447 |
$670.39 |
| 90674 |
|
38 |
38 |
$643.06 |
| 0134A |
|
25 |
25 |
$560.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
451 |
439 |
$166.85 |
| 99397 |
|
48 |
48 |
$75.00 |
| 81003 |
|
65 |
65 |
$73.29 |
| G0008 |
Administration of influenza virus vaccine |
94 |
90 |
$61.08 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
444 |
431 |
$23.10 |
| 1157F |
|
29 |
29 |
$0.00 |
| 1170F |
|
37 |
37 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |
| 1101F |
|
37 |
37 |
$0.00 |
| 1125F |
|
26 |
26 |
$0.00 |
| 1159F |
|
34 |
34 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
34 |
34 |
$0.00 |
| 3725F |
|
33 |
33 |
$0.00 |
| 1160F |
|
27 |
27 |
$0.00 |