| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,454 |
5,000 |
$214K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,180 |
2,997 |
$179K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
200 |
181 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
523 |
483 |
$10K |
| 90686 |
|
632 |
495 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
59 |
57 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
276 |
263 |
$615.98 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
27 |
$45.99 |
| G0008 |
Administration of influenza virus vaccine |
17 |
16 |
$0.00 |