| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,521 |
2,841 |
$357K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,291 |
995 |
$191K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
414 |
414 |
$82K |
| 36415 |
Collection of venous blood by venipuncture |
1,579 |
1,512 |
$31K |
| G0008 |
Administration of influenza virus vaccine |
467 |
467 |
$12K |
| 90674 |
|
334 |
333 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
86 |
84 |
$5K |
| 99386 |
|
14 |
14 |
$4K |
| 90756 |
|
96 |
96 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$585.00 |
| 90661 |
|
40 |
40 |
$537.03 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$130.00 |