| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,151 |
10,740 |
$371K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,592 |
7,269 |
$270K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
749 |
746 |
$79K |
| 99215 |
Prolong outpt/office vis |
859 |
743 |
$41K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
790 |
790 |
$36K |
| 90674 |
|
435 |
435 |
$14K |
| 90658 |
|
411 |
411 |
$7K |
| 90686 |
|
253 |
252 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
887 |
887 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
221 |
220 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
88 |
52 |
$582.97 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
16 |
$114.40 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
126 |
126 |
$0.00 |