| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,673 |
9,552 |
$807K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,341 |
6,039 |
$646K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
830 |
801 |
$110K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
504 |
467 |
$56K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
279 |
273 |
$36K |
| 93000 |
|
1,369 |
1,128 |
$15K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
9,350 |
7,600 |
$12K |
| 90686 |
|
245 |
232 |
$4K |
| 82947 |
|
1,326 |
1,133 |
$3K |
| 90756 |
|
48 |
46 |
$749.49 |
| 36415 |
Collection of venous blood by venipuncture |
186 |
171 |
$528.64 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
70 |
65 |
$446.46 |
| 90688 |
|
16 |
15 |
$231.92 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
47 |
44 |
$55.24 |
| 81000 |
|
2,276 |
2,120 |
$12.38 |
| 3051F |
|
125 |
118 |
$0.00 |
| 99000 |
|
419 |
376 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$0.00 |
| 3044F |
|
38 |
37 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
34 |
$0.00 |