| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,164 |
6,508 |
$391K |
| 99442 |
|
346 |
322 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
225 |
220 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
62 |
62 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
468 |
462 |
$7K |
| 99051 |
|
708 |
617 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
443 |
411 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
78 |
72 |
$2K |
| 90682 |
|
18 |
18 |
$1K |
| 90686 |
|
52 |
52 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
682 |
672 |
$832.17 |
| 3074F |
|
210 |
174 |
$524.50 |
| 3078F |
|
207 |
166 |
$510.50 |
| 90662 |
|
335 |
335 |
$504.89 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
39 |
39 |
$392.17 |
| 90656 |
|
13 |
13 |
$242.19 |
| 93000 |
|
24 |
24 |
$225.80 |
| 1159F |
|
27 |
26 |
$0.00 |
| 99397 |
|
12 |
12 |
$0.00 |
| 1160F |
|
27 |
26 |
$0.00 |
| 90679 |
|
30 |
30 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
336 |
335 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
17 |
17 |
$0.00 |