| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,826 |
4,622 |
$369K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,048 |
1,744 |
$206K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
53 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
40 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
31 |
29 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
936 |
803 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
38 |
28 |
$1K |
| 96127 |
|
238 |
212 |
$996.58 |
| 90688 |
|
38 |
37 |
$660.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
41 |
$302.19 |
| 90686 |
|
41 |
31 |
$266.89 |
| 3008F |
|
46 |
42 |
$220.00 |