| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,653 |
3,536 |
$236K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,759 |
1,749 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
932 |
922 |
$83K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,525 |
3,486 |
$59K |
| 90688 |
|
2,045 |
2,045 |
$37K |
| 90750 |
|
81 |
81 |
$13K |
| 93000 |
|
382 |
382 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
51 |
51 |
$4K |
| 82948 |
|
1,054 |
1,015 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,614 |
1,605 |
$3K |
| 90715 |
|
76 |
76 |
$3K |
| 99442 |
|
96 |
80 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
142 |
142 |
$2K |
| 3078F |
|
797 |
793 |
$2K |
| 90686 |
|
99 |
99 |
$2K |
| 3074F |
|
792 |
789 |
$2K |
| 90732 |
|
12 |
12 |
$1K |
| 0513F |
|
32 |
31 |
$260.00 |
| 99072 |
|
60 |
60 |
$128.00 |
| 3044F |
|
12 |
12 |
$60.00 |
| 82270 |
|
17 |
17 |
$53.38 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 3351F |
|
20 |
20 |
$0.00 |