| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,787 |
6,573 |
$189K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,124 |
2,100 |
$35K |
| 90686 |
|
1,301 |
1,301 |
$26K |
| 0513F |
|
840 |
836 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
224 |
219 |
$5K |
| 90688 |
|
268 |
268 |
$4K |
| 93000 |
|
280 |
278 |
$4K |
| 3074F |
|
537 |
533 |
$4K |
| 3079F |
|
315 |
314 |
$4K |
| 3078F |
|
462 |
458 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
4,178 |
4,013 |
$3K |
| 99442 |
|
80 |
76 |
$2K |
| 91322 |
|
13 |
13 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$1K |
| 90715 |
|
26 |
26 |
$923.28 |
| 90682 |
|
12 |
12 |
$631.89 |
| 90480 |
|
13 |
13 |
$391.20 |
| 90756 |
|
15 |
15 |
$384.67 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
52 |
$250.30 |
| 3075F |
|
38 |
38 |
$190.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
27 |
$121.77 |
| 90662 |
|
26 |
25 |
$114.68 |
| 3044F |
|
13 |
13 |
$80.00 |
| 3077F |
|
54 |
53 |
$5.00 |
| 99000 |
|
493 |
475 |
$3.35 |
| 1160F |
|
116 |
115 |
$0.00 |
| 1159F |
|
144 |
143 |
$0.00 |
| 3725F |
|
17 |
17 |
$0.00 |
| 3011F |
|
77 |
76 |
$0.00 |
| 3008F |
|
889 |
888 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$0.00 |
| 3048F |
|
14 |
14 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |