| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,424 |
2,581 |
$158K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,079 |
936 |
$65K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
583 |
541 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
829 |
635 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
278 |
246 |
$23K |
| 99402 |
|
360 |
270 |
$14K |
| 99401 |
|
577 |
531 |
$13K |
| 99215 |
Prolong outpt/office vis |
153 |
142 |
$13K |
| 93000 |
|
370 |
346 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
63 |
$5K |
| 90688 |
|
285 |
208 |
$4K |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
164 |
162 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
288 |
208 |
$2K |
| 99385 |
|
20 |
13 |
$1K |
| 81002 |
|
520 |
469 |
$857.32 |
| G0008 |
Administration of influenza virus vaccine |
162 |
158 |
$693.50 |
| 3074F |
|
195 |
163 |
$650.00 |
| 3008F |
|
285 |
234 |
$610.00 |
| 3078F |
|
164 |
135 |
$540.00 |
| 2022F |
|
94 |
77 |
$510.00 |
| 3072F |
|
85 |
66 |
$400.00 |
| 2023F |
|
84 |
66 |
$380.00 |
| 3044F |
|
16 |
14 |
$130.00 |
| 4010F |
|
56 |
42 |
$120.00 |
| 3051F |
|
41 |
34 |
$80.00 |
| 36415 |
Collection of venous blood by venipuncture |
193 |
176 |
$56.25 |
| 3017F |
|
42 |
31 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
24 |
16 |
$0.00 |
| 3061F |
|
33 |
26 |
$0.00 |
| 3014F |
|
86 |
53 |
$0.00 |
| 4013F |
|
25 |
13 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
301 |
229 |
$0.00 |