| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,673 |
6,523 |
$453K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,165 |
2,023 |
$105K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
82 |
82 |
$8K |
| 93000 |
|
774 |
755 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
59 |
58 |
$6K |
| 99458 |
|
272 |
256 |
$4K |
| 99457 |
|
349 |
331 |
$3K |
| 99454 |
|
239 |
224 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
168 |
163 |
$3K |
| 90682 |
|
72 |
66 |
$2K |
| 90686 |
|
73 |
72 |
$1K |
| 90674 |
|
63 |
62 |
$903.66 |
| 99443 |
|
29 |
28 |
$652.11 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$356.92 |
| 87400 |
|
28 |
14 |
$285.02 |
| 99442 |
|
12 |
12 |
$233.65 |
| 99453 |
|
16 |
16 |
$68.48 |
| G0008 |
Administration of influenza virus vaccine |
58 |
57 |
$3.56 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |