| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,316 |
9,496 |
$1.01M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,176 |
4,714 |
$519K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
822 |
813 |
$69K |
| 94664 |
|
4,330 |
3,030 |
$59K |
| 99406 |
|
3,012 |
1,939 |
$38K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
353 |
350 |
$6K |
| 3078F |
|
3,136 |
1,843 |
$4K |
| 90688 |
|
217 |
217 |
$4K |
| 3075F |
|
2,313 |
1,465 |
$3K |
| 82962 |
|
1,816 |
1,221 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
27 |
$2K |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
141 |
140 |
$2K |
| 3074F |
|
1,005 |
710 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
876 |
857 |
$960.48 |
| G0008 |
Administration of influenza virus vaccine |
68 |
67 |
$785.40 |
| 90658 |
|
33 |
33 |
$594.86 |
| 3079F |
|
439 |
313 |
$385.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
24 |
24 |
$171.45 |
| 3077F |
|
18 |
15 |
$40.00 |
| 3044F |
|
218 |
147 |
$0.00 |
| 3008F |
|
25 |
25 |
$0.00 |
| 1159F |
|
666 |
372 |
$0.00 |
| 1160F |
|
252 |
163 |
$0.00 |