| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,794 |
8,759 |
$329K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,269 |
4,146 |
$204K |
| 99397 |
|
703 |
694 |
$62K |
| 90662 |
|
1,370 |
1,289 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
118 |
118 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
650 |
609 |
$12K |
| G0008 |
Administration of influenza virus vaccine |
1,697 |
1,587 |
$11K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,088 |
1,061 |
$9K |
| 90682 |
|
301 |
234 |
$7K |
| 99442 |
|
524 |
488 |
$6K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
168 |
158 |
$5K |
| 90750 |
|
24 |
24 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
211 |
206 |
$4K |
| 90686 |
|
286 |
281 |
$3K |
| 90688 |
|
75 |
75 |
$944.69 |
| 3078F |
|
82 |
80 |
$526.40 |
| 3075F |
|
39 |
38 |
$444.62 |
| 3077F |
|
41 |
40 |
$414.14 |
| 99441 |
|
23 |
21 |
$149.47 |
| G0009 |
Administration of pneumococcal vaccine |
28 |
28 |
$139.80 |
| 1111F |
|
13 |
13 |
$136.98 |