| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,637 |
6,124 |
$654K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,019 |
2,009 |
$259K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
425 |
424 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
663 |
557 |
$35K |
| 93000 |
|
1,061 |
1,057 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
864 |
856 |
$15K |
| 99401 |
|
764 |
761 |
$14K |
| 94010 |
|
300 |
299 |
$10K |
| 99051 |
|
426 |
388 |
$5K |
| 90688 |
|
275 |
275 |
$5K |
| 90756 |
|
188 |
188 |
$5K |
| 90686 |
|
206 |
206 |
$4K |
| 99490 |
Ccm add 20min |
287 |
283 |
$2K |
| 90674 |
|
103 |
102 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,274 |
2,258 |
$2K |
| 99072 |
|
287 |
223 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
88 |
88 |
$1K |
| 90661 |
|
44 |
44 |
$1K |
| 3074F |
|
597 |
429 |
$947.96 |
| 3078F |
|
611 |
438 |
$918.32 |
| 90658 |
|
29 |
29 |
$563.10 |
| 3008F |
|
588 |
423 |
$119.21 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
513 |
380 |
$39.63 |
| 1159F |
|
15 |
13 |
$20.77 |
| 3725F |
|
12 |
12 |
$0.00 |
| 3288F |
|
12 |
12 |
$0.00 |
| 1160F |
|
15 |
13 |
$0.00 |
| 1101F |
|
12 |
12 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| 1000F |
|
12 |
12 |
$0.00 |