| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,371 |
6,788 |
$243K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,052 |
4,297 |
$210K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
80 |
80 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
368 |
362 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
4,391 |
4,061 |
$5K |
| 90756 |
|
566 |
548 |
$5K |
| A4614 |
Peak expiratory flow rate meter, hand held |
229 |
220 |
$3K |
| 82962 |
|
2,814 |
2,657 |
$3K |
| 99397 |
|
26 |
26 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
219 |
196 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
59 |
59 |
$458.87 |
| 81002 |
|
266 |
232 |
$243.75 |
| G0008 |
Administration of influenza virus vaccine |
260 |
257 |
$235.57 |
| 93000 |
|
26 |
26 |
$160.34 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$120.64 |
| 82270 |
|
14 |
14 |
$19.56 |