| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,726 |
7,266 |
$382K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,869 |
3,685 |
$271K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,391 |
1,386 |
$125K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
554 |
554 |
$53K |
| 99458 |
|
323 |
319 |
$9K |
| 99457 |
|
421 |
411 |
$9K |
| 99336 |
|
147 |
133 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
198 |
193 |
$3K |
| 99385 |
|
27 |
27 |
$3K |
| 90686 |
|
265 |
260 |
$3K |
| 82962 |
|
1,807 |
1,701 |
$2K |
| 99454 |
|
45 |
45 |
$1K |
| 99443 |
|
26 |
25 |
$591.54 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27 |
27 |
$143.52 |
| 81002 |
|
29 |
28 |
$48.41 |
| G0008 |
Administration of influenza virus vaccine |
72 |
72 |
$0.00 |