| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96160 |
|
557 |
508 |
$17K |
| 90686 |
|
531 |
469 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,661 |
6,230 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,439 |
3,657 |
$588.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
47 |
$312.85 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
293 |
259 |
$257.00 |
| 3078F |
|
11,254 |
9,334 |
$99.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
382 |
323 |
$60.00 |
| 3074F |
|
10,488 |
8,723 |
$59.60 |
| 3044F |
|
907 |
778 |
$50.00 |
| 3048F |
|
1,869 |
1,661 |
$49.80 |
| G0008 |
Administration of influenza virus vaccine |
373 |
318 |
$28.02 |
| 3077F |
|
455 |
406 |
$12.00 |
| 3049F |
|
872 |
775 |
$6.00 |
| 3075F |
|
442 |
399 |
$6.00 |
| 2022F |
|
1,452 |
1,306 |
$0.00 |
| 3050F |
|
551 |
470 |
$0.00 |
| 1160F |
|
217 |
194 |
$0.00 |
| 3017F |
|
2,339 |
2,092 |
$0.00 |
| 3008F |
|
10,975 |
9,065 |
$0.00 |
| 3014F |
|
1,115 |
980 |
$0.00 |
| 3079F |
|
69 |
65 |
$0.00 |
| 99386 |
|
46 |
45 |
$0.00 |
| 4010F |
|
146 |
135 |
$0.00 |
| 1170F |
|
124 |
111 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
47 |
44 |
$0.00 |
| 1125F |
|
59 |
53 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$0.00 |
| 3061F |
|
13 |
12 |
$0.00 |