| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,078 |
8,345 |
$725K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
128 |
128 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
759 |
722 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
2,434 |
2,382 |
$5K |
| 90686 |
|
261 |
260 |
$5K |
| 90674 |
|
112 |
112 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
214 |
214 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
44 |
$2K |
| 90688 |
|
95 |
94 |
$2K |
| 90682 |
|
16 |
16 |
$825.68 |
| 90756 |
|
32 |
32 |
$660.91 |
| 90662 |
|
18 |
18 |
$415.07 |
| 3074F |
|
1,193 |
1,081 |
$285.00 |
| 3078F |
|
910 |
826 |
$242.50 |
| 3079F |
|
443 |
415 |
$210.00 |
| 93000 |
|
12 |
12 |
$149.27 |
| 3075F |
|
29 |
27 |
$45.00 |
| 3288F |
|
14 |
14 |
$0.00 |
| 3077F |
|
27 |
24 |
$0.00 |
| 1100F |
|
14 |
14 |
$0.00 |
| 99429 |
|
248 |
183 |
$0.00 |
| 1101F |
|
14 |
14 |
$0.00 |