| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,730 |
4,424 |
$198K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,057 |
2,927 |
$162K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
491 |
489 |
$13K |
| 90688 |
|
503 |
503 |
$8K |
| 99499 |
|
375 |
353 |
$8K |
| 99215 |
Prolong outpt/office vis |
103 |
103 |
$7K |
| G0008 |
Administration of influenza virus vaccine |
788 |
782 |
$6K |
| 92250 |
|
93 |
92 |
$4K |
| 3074F |
|
485 |
479 |
$4K |
| 3078F |
|
465 |
462 |
$3K |
| 3008F |
|
129 |
129 |
$1K |
| 90715 |
|
125 |
125 |
$1K |
| 99397 |
|
38 |
38 |
$1K |
| 3044F |
|
135 |
135 |
$990.00 |
| 90658 |
|
50 |
50 |
$911.93 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$425.25 |
| 90662 |
|
22 |
22 |
$248.97 |
| 99406 |
|
13 |
12 |
$165.88 |
| 2022F |
|
12 |
12 |
$110.00 |
| 3079F |
|
12 |
12 |
$110.00 |
| 3051F |
|
13 |
13 |
$70.00 |
| 90673 |
|
34 |
34 |
$37.50 |
| 3288F |
|
13 |
13 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |