| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,685 |
6,592 |
$980K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,942 |
952 |
$223K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
889 |
832 |
$81K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
670 |
338 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,217 |
1,017 |
$57K |
| 99215 |
Prolong outpt/office vis |
566 |
501 |
$34K |
| 99386 |
|
65 |
61 |
$10K |
| G0008 |
Administration of influenza virus vaccine |
290 |
288 |
$7K |
| 99354 |
|
22 |
16 |
$682.55 |
| 90674 |
|
24 |
24 |
$514.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
41 |
$407.46 |
| 90694 |
|
290 |
287 |
$66.43 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
18 |
18 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
18 |
18 |
$0.00 |