| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,082 |
8,432 |
$657K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,357 |
5,564 |
$401K |
| 36415 |
Collection of venous blood by venipuncture |
6,364 |
5,966 |
$76K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
275 |
265 |
$35K |
| 90756 |
|
896 |
804 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
679 |
622 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
49 |
$8K |
| 90686 |
|
265 |
251 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
79 |
67 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
209 |
209 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
141 |
136 |
$1K |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
50 |
50 |
$1K |
| 90658 |
|
56 |
56 |
$474.24 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$287.20 |