| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,392 |
7,192 |
$567K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
286 |
286 |
$31K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
542 |
540 |
$27K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
179 |
179 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
754 |
753 |
$13K |
| 90674 |
|
397 |
397 |
$10K |
| 90756 |
|
233 |
233 |
$5K |
| 90686 |
|
224 |
224 |
$4K |
| 82948 |
|
1,470 |
1,420 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
4,815 |
4,759 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$2K |
| 90661 |
|
74 |
73 |
$2K |
| 82962 |
|
717 |
681 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
112 |
112 |
$707.30 |
| 3066F |
|
13 |
13 |
$240.00 |
| 3078F |
|
171 |
171 |
$82.79 |
| 3074F |
|
115 |
115 |
$81.00 |
| 0513F |
|
46 |
46 |
$64.39 |
| 1000F |
|
12 |
12 |
$40.99 |
| 3044F |
|
26 |
26 |
$40.00 |
| 3011F |
|
189 |
189 |
$7.42 |
| 1126F |
|
107 |
107 |
$4.39 |
| 1170F |
|
82 |
82 |
$4.39 |
| 1159F |
|
81 |
81 |
$4.39 |
| 1160F |
|
80 |
80 |
$4.39 |
| 3048F |
|
50 |
50 |
$0.00 |
| 99397 |
|
15 |
15 |
$0.00 |