| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,814 |
1,624 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,434 |
1,322 |
$12K |
| 90756 |
|
74 |
74 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
43 |
30 |
$583.54 |
| 90688 |
|
43 |
42 |
$483.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
150 |
141 |
$102.58 |
| 99000 |
|
289 |
285 |
$63.53 |
| 81003 |
|
97 |
93 |
$42.18 |
| 36415 |
Collection of venous blood by venipuncture |
52 |
52 |
$28.71 |
| G0008 |
Administration of influenza virus vaccine |
16 |
15 |
$5.75 |
| 1220F |
|
30 |
28 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$0.00 |
| 3016F |
|
30 |
29 |
$0.00 |